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General NPI Number Information
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NPI Number | 1679534432
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Entity Type | Individual
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Provider Name | LARS THOMAS CONWAY MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 13103 E MANSFIELD AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1642
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Country | US
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Telephone | 509-892-2700
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Fax | 509-892-2740
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Provider Business Mailing Address
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Address Line | PO BOX 3405
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City | SPOKANE
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State | WA
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Zip | 99220-3405
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Country | US
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Telephone | 509-892-2700
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Fax | 509-342-2743
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | MED-PHYS-LIC-118222
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | M-12068
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | MD60314310
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 165109
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License Number State | AK
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Taxonomy #5
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 9164A
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License Number State | WY
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Taxonomy #6
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 9164A
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License Number State | WY
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Taxonomy #7
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 165109
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License Number State | AK
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Taxonomy #8
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD60314310
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License Number State | WA
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Taxonomy #9
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MED-PHYS-LIC-118222
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License Number State | MT
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Taxonomy #10
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | M-12068
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License Number State | ID
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