person
Trista Rawlings Lawrence, LMP
Specialist in Blaine, Washington
NPI 1780805507

Trista Rawlings Lawrence is a Specialist based in Blaine, WA. Trista Rawlings Lawrence practices in Blaine, WA and has the professional credentials of LMP. The NPI Number for Trista Rawlings Lawrence is 1780805507 and holds a License No. MA00012980 (Washington).

The current practice location address for Trista Rawlings Lawrence is 477 Peace Portal Drive, Blaine, WA and can be reached out via phone at 360-332-8000 and via fax at 360-371-4085.

Location: 477 Peace Portal Drive, Blaine, WA, 98231
person
Provider Profile Details
NPI Number
1780805507
Provider Name
Trista Rawlings Lawrence
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
477 Peace Portal Drive, Blaine, WA, 98231
Phone Number
360-332-8000
Fax Number
360-371-4085
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
140125 01 WA L&I PROVIDER #
1236RA 01 WA ADDITIONAL RBS PROVIDER N
1714RA 01 WA RBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
477 Peace Portal Drive
City
State
Zip
98230
Phone Number
360-332-8000
Fax Number
360-371-4085
person
Provider Business Mailing Address Details
Address
477 Peace Portal Drive
City
State
Zip
98230
Phone Number
360-332-8000
Fax Number
360-371-4085
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MA00012980 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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