Lakewood Pediatric Associates, Pllc in Lakewood - Pediatrics
Lakewood Pediatric Associates, Pllc - NPI 1770694713
Lakewood Pediatric Associates, Pllc is a Pediatrics in Lakewood, Washington. Lakewood Pediatric Associates, Pllc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lakewood Pediatric Associates, Pllc is 1770694713. The last update date is 2017-04-26.
Lakewood Pediatric Associates, Pllc's current location address is 7424 Bridgeport Way W, Lakewood, Washington. You can contact this provider via phone number 2535812111 and fax number 2535817479. The mailing address for Lakewood Pediatric Associates, Pllc is 7424 Bridgeport Way W, Lakewood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakewood Pediatric Associates, Pllc |
|---|---|
| Address | 7424 Bridgeport Way W, Lakewood, Washington |
| Phone Number | 2535812111 |
| Fax Number | 2535817479 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Tan Darryl |
| Credentials | M.D. |
| Telephone Number | 2535812111 |
NPI Number Detail
| NPI Number | 1770694713 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2017-04-26 |
Provider Mailing Address Detail
| Address | 7424 Bridgeport Way W |
|---|---|
| City | Lakewood |
| State | Washington (WA) |
| Post Code | 98499 |
| Phone Number | 2535812111 |
| Fax Number | 2535817479 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7093628 | WA | -- | |
| 8925744 | WA | PRACTICE CRIME VICTIMS # | |
| 187382 | WA | PRACTICE L&I NUMBER |
Post Comment/ Review Below
What is the Lakewood Pediatric Associates, Pllc's 1770694713?
The Lakewood Pediatric Associates, Pllc's NPI (National Provider Identifier) Number is 1770694713. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lakewood Pediatric Associates, Pllc's physical address?
The Lakewood Pediatric Associates, Pllc is physically located at 7424 Bridgeport Way W, in the city of Lakewood, WA, with the postal code 98499.
What is Lakewood Pediatric Associates, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lakewood Pediatric Associates, Pllc's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Lakewood Pediatric Associates, Pllc receive its 1770694713 assignment from the Centers for Medicare & Medicaid Services?
The Lakewood Pediatric Associates, Pllc was assigned its 1770694713 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date was the information pertaining to Lakewood Pediatric Associates, Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lakewood Pediatric Associates, Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-04-26.