Michael Lawrence
Individual provider Active NPI Pharmacist · La Conner, WA
NPI 1497278535 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1497278535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH60769543 (WA)
- Practice address
- 17400 Reservation Rd
La Conner, WA 98257-8801 - Phone
- (360) 466-3167
- NPI assigned
- Jul 20, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60769543 | WA | MD | Pharmacist |
| PHA-PHA-LIC-47029 | MT | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60769543 | WA | Yes |
Addresses
Primary practice location
17400 Reservation Rd
La Conner, WA 98257-8801
Mailing address
17400 Reservation Rd
PO Box 683
La Conner, WA 98257-8801
Other providers in La Conner, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.