Organization Active NPI

Lawrence S. Eastburn, MD, PS

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1730201450
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00037646 Issued in WA
Legal business name
LAWRENCE S. EASTBURN, MD, PS
Practice address
507 S Washington St
Suite 170
Spokane, WA 99204-2608
Phone
(509) 747-0845
Fax
(509) 747-0492
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Lawrence Stephen Eastburn, MDNPI 1942267299
Title
President
Phone
(509) 747-0845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD00037646 WA Primary

Addresses

Primary practice location

507 S Washington St
Suite 170
Spokane, WA 99204-2608

Mailing address

507 S Washington St
Suite 170
Spokane, WA 99204-2608
Phone (509) 747-0845

Other identifiers 1

IdentifierTypeStateIssuer
7136542MedicaidWA

National Provider Directory

National Provider Directory

Locations

507 S Washington St
Ste 170
Spokane, WA 99204
Phone (509) 362-9653

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1730201450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S WASHINGTON ST",
            "address_2": "SUITE 170",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042608",
            "telephone_number": "509-747-0845",
            "fax_number": "509-747-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S WASHINGTON ST",
            "address_2": "SUITE 170",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042608",
            "telephone_number": "509-747-0845",
            "fax_number": "509-747-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE S. EASTBURN, MD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "EASTBURN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-747-0845",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00037646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7136542",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.