OTIS LAWRENCE

TACOMA, WA
NPI1134540909
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2013-12-22
Last Update Date2013-12-22
Business Address
-- OTIS LAWRENCE PA-C
608 E 62ND ST
TACOMA, WA 98404-1935
Phone number: 210-793-0595
Mailing Address
-- OTIS LAWRENCE PA-C
608 E 62ND ST
TACOMA, WA 98404-1935
Phone number: 210-793-0595