OTIS LAWRENCE (NPI# 1134540909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
608 E 62ND ST |
City | TACOMA |
State | WA |
Zip Code | 98404-1935 |
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 Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
Please comment or provide details below to improve the information on OTIS LAWRENCE.
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.