OTIS LAWRENCE


Address: 608 E 62nd St, Tacoma, WA 98404-1935
Phone: 2107930595

OTIS LAWRENCE (NPI# 1134540909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134540909
Entity Type Individual
Full Name OTIS LAWRENCE
Credential PA-C
Practice Address 608 E 62nd St
Tacoma
WA 98404-1935
Practice Telephone 2107930595
Mailing Telephone 2107930595
Enumeration Date 2013-12-22
Last Update Date 2013-12-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 608 E 62ND ST
City TACOMA
State WA
Zip Code 98404-1935

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386169829 Brianna Lee Brown Nurse's Aide 1020 South 76th Street, Tacoma, WA 98404 2017-08-05
1770981045 Tra My Thi Nguyen Pharmacist 4614 E N St, Tacoma, WA 98404 2014-12-18
1720419161 Amber Gilderoy Massage Therapist 1101 E 56th St, Tacoma, WA 98404 2013-12-11
1295083756 Stacy Marie Klontz Physical Therapy Assistant 1649 East 72nd St., Tacoma, WA 98404 2012-08-15
1215239892 Kimberly Ida Sterling Dental Hygienist 247 E. 68th St., Tacoma, WA 98404 2010-12-02
1982923926 Emily C Parry Occupational Therapy Assistant 1649 East 72nd Street, Tacoma, WA 98404 2010-05-28
1427386465 Carole Lynne Hopkins Physical Therapist 1649 East 72nd St, Tacoma, WA 98404 2009-12-03
1417016056 Jennifer Anne Decoteau Social Worker 2209 East 32nd St, Tacoma, WA 98404 2006-12-08
1518032374 Agnes Barbara Kocsis Psychiatry & Neurology 2209 E.32nd Str, Tacoma, WA 98404 2006-11-21
1912924366 Marthe Butzen Physician Assistant 1708 E. 44th Street, Tacoma, WA 98404 2006-07-15
Find all providers in zip 98404

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407300098 Joshua David Evans Physician Assistant 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 2016-08-11
1790177731 Taylor Marquardt Physician Assistant 1624 S I St Ste 305, Tacoma, WA 98405-5093 2015-02-27
1689905788 Jason F Naylor Physician Assistant 9040 Jackson Avenu, Tacoma, WA 98431-7037 2010-01-29
1952536146 Eric Vangsnes Physician Assistant 9040 Reid St., Attn: Mchj-qcr, Tacoma, WA 98431-1100 2009-05-18
1801048731 Anthony Cee Charles Physician Assistant 1307 Martin Luther King Jr Way, Tacoma, WA 98405-3929 2008-10-22
1083742480 Darin W Smith Physician Assistant 1623 E J St, Tacoma, WA 98421-1602 2007-02-28
1417045857 Kenneth Leo Fleck Physician Assistant 910 Tacoma Ave S, Tacoma, WA 98402-2104 2006-10-11
1912924366 Marthe Butzen Physician Assistant 1708 E. 44th Street, Tacoma, WA 98404 2006-07-15
1013973205 Sheldon Burdell Watson Physician Assistant Madigan Army Medical Center/okubo Clinic, 9040 Jackson Ave, Tacoma, WA 98431-1730 2006-04-25
1851351522 Craig Philip Wallace Physician Assistant Va Puget Sound, American Lake Division, Tacoma, WA 98493-0001 2006-03-25
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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