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Dr. Lawrence Soo-young Park, MD
Diagnostic Radiology Physician in Tacoma, Washington
NPI 1871619122

Lawrence Soo-young Park is a Diagnostic Radiology Physician based in Tacoma, WA and is specialized in Diagnostic Radiology. Lawrence Soo-young Park practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Lawrence Soo-young Park is 1871619122 and holds a License No. 4301082255 (Washington).

The current practice location address for Lawrence Soo-young Park is 1304 Fawcett Ave Ste 100, Tacoma, WA and can be reached out via phone at 253-761-4200 and via fax at 253-383-3553.

Location: 1304 Fawcett Ave Ste 100, Tacoma, WA, 98401-1535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871619122
Provider Name
Lawrence Soo-young Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1304 Fawcett Ave Ste 100, Tacoma, WA, 98401-1535
Phone Number
253-761-4200
Fax Number
253-383-3553
Provider Enumeration Date
03/21/2007
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0239075 01 WA LABOR AND INDUSTRIES-TRA
8948507 01 WA LABOR AND INDUSTRIES CRIME VICTIMS-TRA
8951845 01 WA LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
0239076 01 WA LABOR AND INDUSTRIES-UNION AVENUE OPEN MRI
0249563 01 WA LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
institution
Provider Business Practice Location Address Details
Address
1304 Fawcett Ave Ste 100
City
Tacoma
State
Washington
Zip
98402-1900
Phone Number
253-761-4200
Fax Number
253-383-3553
person
Provider Business Mailing Address Details
Address
1304 Fawcett Ave Ste 100
City
Tacoma
State
Washington
Zip
98402-1900
Phone Number
253-761-4200
Fax Number
253-383-3553
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301082255 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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