Provider Demographics
NPI:1306970488
Name:LAW, CHRISTINA I (LMP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:I
Last Name:LAW
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 NE GOLDENROD CIR
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98311-6903
Mailing Address - Country:US
Mailing Address - Phone:360-692-2664
Mailing Address - Fax:
Practice Address - Street 1:2295 NE GOLDENROD CIR
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98311-6903
Practice Address - Country:US
Practice Address - Phone:360-692-2664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00017228174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist