Provider Demographics
NPI:1821007410
Name:FOX, LAURENCE SCOTT (DO)
Entity Type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:SCOTT
Last Name:FOX
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1931 DUMAS CIR NE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98422-4233
Mailing Address - Country:US
Mailing Address - Phone:253-709-8643
Mailing Address - Fax:253-563-2001
Practice Address - Street 1:1411 SOUTH 348TH STREET
Practice Address - Street 2:BUILDING L SUITE 104
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8373
Practice Address - Country:US
Practice Address - Phone:253-874-2000
Practice Address - Fax:253-874-5207
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAWAOP00001590207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine