Brian Laverentz

NPI #1134864952 in Tacoma, Washington

Provider Information

NPI Number: 1134864952
Entity Type: Individual
Name: Brian Laverentz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Enumeration Date: May 5, 2022
Last Updated: Sep 5, 2023

Practice Location

Address: 9040 JACKSON AVE
City: Tacoma
State: Washington
ZIP Code: 98431-0001
Phone: (706) 787-5811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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