Individual provider · Type 1 NPI
Otis Lawrence, PA-C
Medical Physician Assistant · Tacoma, WA
NPI number
1134540909
Active
Practice location
608 E 62nd St
Tacoma, WA 98404-1935
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1134540909
Otis Lawrence, PA-C's National Provider Identifier is 1134540909, issued on Dec 22, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tacoma, WA. The record was last updated on Dec 22, 2013.