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1679559603
LAWRENCE ROBERT VIDRINE
LAKEWOOD, WA
NPI
1679559603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WA MD00022122)
Enumeration Date
2005-12-21
Last Update Date
2007-07-08
Business Address
Dr. LAWRENCE ROBERT VIDRINE MD
11367 BRIDGEPORT WAY SW SUITE 217
LAKEWOOD, WA 98499-3004
Phone number: 253-985-6134
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Mailing Address
Dr. LAWRENCE ROBERT VIDRINE MD
3705 N ADAMS ST
TACOMA, WA 98407-6127
Phone number: 253-759-2134
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