Provider Demographics
NPI:1255417689
Name:LAYTON, EDWARD P (LAC)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:P
Last Name:LAYTON
Suffix:
Gender:M
Credentials:LAC
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Mailing Address - Street 1:1329 LINCOLN ST
Mailing Address - Street 2:3
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-6279
Mailing Address - Country:US
Mailing Address - Phone:360-734-1659
Mailing Address - Fax:360-734-1659
Practice Address - Street 1:1329 LINCOLN ST
Practice Address - Street 2:3
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-6279
Practice Address - Country:US
Practice Address - Phone:360-734-1659
Practice Address - Fax:360-734-1659
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAAC00002587171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist