Lakeshore Clinic Pllc in Bothell - Family Medicine
Lakeshore Clinic Pllc - NPI 1841399870
Lakeshore Clinic Pllc is a Family Medicine in Bothell, Washington. Lakeshore Clinic Pllc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lakeshore Clinic Pllc is 1841399870. The last update date is 2012-10-11.
Lakeshore Clinic Pllc's current location address is 10025 Ne 186th St, Bothell, Washington. You can contact this provider via phone number 4254869131 and fax number 4254869490. The mailing address for Lakeshore Clinic Pllc is 10025 Ne 186th St, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeshore Clinic Pllc |
|---|---|
| Address | 10025 Ne 186th St, Bothell, Washington |
| Phone Number | 4254869131 |
| Fax Number | 4254869490 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Jeppesen R Linda |
| Telephone Number | 4254869131 |
NPI Number Detail
| NPI Number | 1841399870 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2012-10-11 |
Provider Mailing Address Detail
| Address | 10025 Ne 186th St |
|---|---|
| City | Bothell |
| State | Washington (WA) |
| Post Code | 980113839 |
| Phone Number | 4254869131 |
| Fax Number | 4254869490 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identifier code issued to Lakeshore Clinic Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Lakeshore Clinic Pllc has been assigned the NPI (National Provider Identifier) 1841399870. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Lakeshore Clinic Pllc located?
The Lakeshore Clinic Pllc is located at 10025 Ne 186Th St, Bothell, WA 980113839.
What is the Lakeshore Clinic Pllc's area of specialization and corresponding taxonomy classification?
The Lakeshore Clinic Pllc's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1841399870 to Lakeshore Clinic Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1841399870 to Lakeshore Clinic Pllc on 2006-09-22.
As of what date were the Lakeshore Clinic Pllc's details last updated?
The information pertaining to the Lakeshore Clinic Pllc, including its address, specialty, and other details, was most recently updated on 2012-10-11.
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