Provider Demographics
NPI:1861627259
Name:LAUGHLIN, ADRIAN (LCPO)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:LAUGHLIN
Suffix:
Gender:M
Credentials:LCPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9115 BRIDGEPORT WAY SW STE 2
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2449
Mailing Address - Country:US
Mailing Address - Phone:253-589-9838
Mailing Address - Fax:
Practice Address - Street 1:9115 BRIDGEPORT WAY SW STE 2
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2449
Practice Address - Country:US
Practice Address - Phone:253-589-9838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist