Active NPI
Michael Lawrence
- Pharmacist
- La Conner, WA
National Provider Identifier
1497278535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60769543
- Practice address
- 17400 Reservation Rd
La Conner, WA 98257-8801 - Phone
- (360) 466-3167
- NPI assigned
- Jul 20, 2017
- Last updated
- Sep 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60769543 | WA | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60769543 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1497278535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17400 RESERVATION RD",
"address_2": "PO BOX 683",
"city": "LA CONNER",
"state": "WA",
"postal_code": "982578801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17400 RESERVATION RD",
"city": "LA CONNER",
"state": "WA",
"postal_code": "982578801",
"telephone_number": "360-466-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-20",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60769543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Conner, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.