MEDICARE: DR. LAWRENCE A THOMAS D.C.

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	111N00000X	Chiropractor	CH00002339	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	350051503	OTHER	WA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	62071	OTHER	WA	LABOR & INDUSTRIES

General Provider Information

NPI Number	:	1235202862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE A THOMAS D.C.

Provider Business Mailing Address
First Line	:	1101 BOYLSTON AVE STE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-2818
Country	:	US
Telephone Number	:	206-623-5202
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 BOYLSTON AVE STE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98101-2818
Country	:	US
Telephone Number	:	206-623-5202
Fax Number	:	206-623-0995

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	04/06/2021

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