Doctor Name: | MR. JOHN ANDREW ST. LAURENT |
NPI Number: | 1356589865 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.M.P |
License Number: | MA 60065251 |
Business Practice Address: | 12950 Se Kent Kangley Rd Kent, WA - 980307940 |
Business Phone Number: | 2536309395 |
Business Fax Number: | 2536392219 |
Mailing Address: | 12950 Se Kent Kangley Rd, KENT |
State: | WA |
Postal Code: | 980307940 |
Phone Number: | 2536309395 |
Fax Number: | 2536392219 |
NPI Enumeration Date: | 01/22/2009 |
NPI Last Update Date: | 01/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA 60065251 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |