MEDICARE: DR. LAWRENCE V. MAJOVSKI PHD

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	103T00000X	Psychologist	PY1655	WA

General Provider Information

NPI Number	:	1902910102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE V. MAJOVSKI PHD

Provider Business Mailing Address
First Line	:	6512 20TH STREET CT W
Second Line	:	SUITE C
City	:	FIRCREST
State	:	WA
Zip	:	98466-6212
Country	:	US
Telephone Number	:	253-572-9917
Fax Number	:	253-858-4060

Provider Business Practice Location Address
First Line	:	6512 20TH STREET CT W
Second Line	:	SUITE C
City	:	FIRCREST
State	:	WA
Zip	:	98466-6212
Country	:	US
Telephone Number	:	253-572-9917
Fax Number	:	253-858-4060

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	04/11/2011

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