LAURICE SAMUEL VICKERS

SEATTLE, WA
NPI1558394288
Other NameL. SAMUEL VICKERS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: WA  13323)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: OR  14782)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: AK  5586)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA  C42192)
Enumeration Date2006-07-08
Last Update Date2010-08-04
Business Address
-- LAURICE SAMUEL VICKERS MD
1001 KLICKITAT WAY SW SUITE 205 PSIP
SEATTLE, WA 98134
Phone number: 206-622-7747
Mailing Address
-- LAURICE SAMUEL VICKERS MD
PO BOX 34245 PSIP
SEATTLE, WA 98124-1245
Phone number: 206-622-7747