Randolph Lewis Lake in Renton - General Practice
Randolph Lewis Lake - NPI 1528134509
Randolph Lewis Lake is a General Practice in Renton, Washington. Randolph Lewis Lake practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randolph Lewis Lake is 1528134509. The last update date is 2007-07-08.
Randolph Lewis Lake's current location address is 3200 Ne Sunset Blvd, Renton, Washington. You can contact this provider via phone number 4252282555 and fax number 4252280220. The mailing address for Randolph Lewis Lake is 3200 Ne Sunset Blvd, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph Lewis Lake |
|---|---|
| Address | 3200 Ne Sunset Blvd, Renton, Washington |
| Phone Number | 4252282555 |
| Fax Number | 4252280220 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1528134509 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3200 Ne Sunset Blvd |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980563335 |
| Phone Number | 4252282555 |
| Fax Number | 4252280220 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DE00005282 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Randolph Lewis Lake by the Centers for Medicare & Medicaid Services?
The Randolph Lewis Lake has been assigned the NPI (National Provider Identifier) 1528134509. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randolph Lewis Lake's physical address?
The Randolph Lewis Lake is physically located at 3200 Ne Sunset Blvd, in the city of Renton, WA, with the postal code 980563335.
What is Randolph Lewis Lake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randolph Lewis Lake is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528134509 to Randolph Lewis Lake?
The Randolph Lewis Lake received its 1528134509 assignment from the Centers for Medicare & Medicaid Services on 2006-11-28.
When was the information related to Randolph Lewis Lake most recently updated or refreshed?
The details pertaining to the Randolph Lewis Lake, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.