Lakeshore Clinic Pllc in Bothell - Internal Medicine
Lakeshore Clinic Pllc - NPI 1922052422
Lakeshore Clinic Pllc is a Internal Medicine in Bothell, Washington. Lakeshore Clinic Pllc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lakeshore Clinic Pllc is 1922052422. The last update date is 2014-02-18.
Lakeshore Clinic Pllc's current location address is Po Box 646, Bothell, Washington. You can contact this provider via phone number 4254853955 and fax number 4254851476. The mailing address for Lakeshore Clinic Pllc is Po Box 646, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeshore Clinic Pllc |
|---|---|
| Address | Po Box 646, Bothell, Washington |
| Phone Number | 4254853955 |
| Fax Number | 4254851476 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Jeppesen R Linda |
| Telephone Number | 4254853955 |
NPI Number Detail
| NPI Number | 1922052422 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2014-02-18 |
Provider Mailing Address Detail
| Address | Po Box 646 |
|---|---|
| City | Bothell |
| State | Washington (WA) |
| Post Code | 980410646 |
| Phone Number | 4254853955 |
| Fax Number | 4254851476 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G217116700 | WA | PTAN |
Post Comment/ Review Below
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) 1922052422. 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 Po Box 646, Bothell, WA 980410646.
What is the Lakeshore Clinic Pllc's area of specialization and corresponding taxonomy classification?
The Lakeshore Clinic Pllc's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922052422 to Lakeshore Clinic Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1922052422 to Lakeshore Clinic Pllc on 2006-05-19.
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 2014-02-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY