Provider Demographics
NPI:1306024609
Name:DR. LAWRENCE SCHLOSSER PLLC
Entity Type:Organization
Organization Name:DR. LAWRENCE SCHLOSSER PLLC
Other - Org Name:SCHLOSSER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHLOSSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-854-1181
Mailing Address - Street 1:PO BOX 5501
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98064-5501
Mailing Address - Country:US
Mailing Address - Phone:253-854-1181
Mailing Address - Fax:253-850-9620
Practice Address - Street 1:25821 104TH AVE SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-7607
Practice Address - Country:US
Practice Address - Phone:253-854-1181
Practice Address - Fax:253-850-9620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002586261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center