Provider Demographics
NPI:1780950766
Name:VETERINARY SPECIALTY GROUP PLL
Entity type:Organization
Organization Name:VETERINARY SPECIALTY GROUP PLL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRITICAL CARE SPECIALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:KIRSTEN
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:DACVECC
Authorized Official - Phone:253-983-1114
Mailing Address - Street 1:2505 S 80TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-8400
Mailing Address - Country:US
Mailing Address - Phone:253-983-1114
Mailing Address - Fax:253-983-1115
Practice Address - Street 1:2505 S 80TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-8400
Practice Address - Country:US
Practice Address - Phone:253-983-1114
Practice Address - Fax:253-983-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVT00008096284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital