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Deactivated NPI 1881962462 Deactivated / Inactive NPI Male Practitioner

Dr. Laurence John Wiwatowski , MD

Specialist • Spokane, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Laurence Wiwatowski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 09, 2011
NPI Deactivation Date August 07, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Laurence Wiwatowski, MD was a registered Specialist practicing in Spokane, WA. Throughout an active medical career spanning 14 years, Dr. Wiwatowski provided care at the practice location at 1416 W CHERRYWOOD CT until profile deactivation on 2025-08-07.

Practice Location & Contact Primary Location

Practice Address

1416 W Cherrywood Ct

Spokane, WA 992182999

Telephone 5094662767

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
108 Specialists

Practicing in Spokane, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MD 00011228

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 07, 2025

Record deactivated on August 07, 2025

NPI Profile Active December 09, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 09, 2011

Registered at 1416 W CHERRYWOOD CT, SPOKANE, WA 992182999 (Tel: 5094662767)

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Updated Business Mailing Address December 09, 2011

Registered at 1416 W CHERRYWOOD CT, SPOKANE, WA 992182999 (Tel: 5094662767)

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Provider Name / Credentials Updated December 09, 2011

Recorded as LAURENCE WIWATOWSKI, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2011

Specialist (License #MD 00011228 in WA)

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Initial NPI Registration & Enumeration December 09, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881962462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2011
Last Update: December 09, 2011
Deactivation Date: August 07, 2025

Mailing Address

1416 W Cherrywood Ct

Spokane, WA 992182999

Phone: 5094662767

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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