MEDICARE: LAWRENCE H. SCHWARTZ, MD,INC. P.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	00004262	WA

General Provider Information

NPI Number	:	1144458365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWRENCE H. SCHWARTZ, MD,INC. P.S.

Provider Business Mailing Address
First Line	:	1120 CHERRY ST
Second Line	:	240
City	:	SEATTLE
State	:	WA
Zip	:	98104-2044
Country	:	US
Telephone Number	:	206-624-0296
Fax Number	:	206-624-1399

Provider Business Practice Location Address
First Line	:	1120 CHERRY ST
Second Line	:	240
City	:	SEATTLE
State	:	WA
Zip	:	98104-2044
Country	:	US
Telephone Number	:	206-624-0296
Fax Number	:	206-624-1399

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LAWRENCE HERBERT SCHWARTZ
Credential	:	M.D.
Telephone Number	:	206-624-0296

Provider Enumeration Date	:	06/25/2009
Last Update Date	:	06/25/2009

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