Healthcare Provider Details

I. General information

NPI: 1073427928
Provider Name (Legal Business Name): LAWRENCE D PARISH LSWAIC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 41ST AVE E APT 146
SEATTLE WA
98112-2518
US

IV. Provider business mailing address

2515 41ST AVE E APT 146
SEATTLE WA
98112-2518
US

V. Phone/Fax

Practice location:
  • Phone: 731-592-8063
  • Fax:
Mailing address:
  • Phone: 731-592-8063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWIA.SC.70151243
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: