| NPI | 1154479327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MICHAEL MAURER Podiatrist 425-899-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0000X Podiatrist, Sports Medicine (Licence: WA PO710) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2020-07-21 |