Lawrence Edmond Mulkerin

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD00017662 Issued in WA

Practice address

University of Washington Medical CT
1959 NE Pacific Street
Seattle, WA 98195-0001

Phone

(206) 598-4000

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194800904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WASHINGTON MEDICAL CT",
            "address_2": "1959 NE PACIFIC STREET",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-598-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKERIN",
        "first_name": "LAWRENCE",
        "middle_name": "EDMOND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD00017662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1809904",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL ID-MOTOR VEHICLE ID",
            "identifier": "71990",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Rose Mulick, LMHCA
• Michael Mulick, D.M.D.
• Ain Mulindwa
• Tori Mulitauaopele
• Alesha Marie Muljat Bailey, PH.D.
• Benjamin Mulkey
• Rennetta Lynnette Mulkey, STUDENT MIDWIFE
• Brendan Mullan
• Erin Mullane
• Matthew Lynn Mullaney, D.C.

• Radiation Oncology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Radiation Oncology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.