| Ms Raylene Lawrence, PA-C | |
|
1210 W Fairview St, Colfax, WA 99111-9552 | |
| (509) 397-4717 | |
| (509) 397-3501 |
| Full Name | Ms Raylene Lawrence |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1210 W Fairview St, Colfax, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932286531 | NPI | - | NPPES |
| 0194084 | Other | WA | WA STATE DL&I NUMBER |
| 8373193 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10004711 (Washington) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA06967 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Raylene Lawrence, PA-C 756 Lanky Rd, Colfax, WA 99111-8770 Ph: (509) 397-4717 | Ms Raylene Lawrence, PA-C 1210 W Fairview St, Colfax, WA 99111-9552 Ph: (509) 397-4717 |
Jack Hostetler, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1200 W Fairview St, Colfax, WA 99111 Phone: 509-397-3435 | |
Morganne Hamann, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1210 W Fairview St, Colfax, WA 99111 Phone: 509-397-4717 |