Doctor Name: | DR. EMMY WASHBURN LAWRASON-KOBOBEL |
NPI Number: | 1245458264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | DO157442 |
Business Practice Address: | 147 Sw Shevlin Hixon Dr Suite 204 Bend, OR - 977023130 |
Business Phone Number: | 5417069985 |
Business Fax Number: | 5414089853 |
Mailing Address: | 147 Sw Shevlin Hixon Dr, Suite 204 BEND |
State: | OR |
Postal Code: | 977023130 |
Phone Number: | 5417069985 |
Fax Number: | 5414089853 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 12/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | DO157442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |