The Clinic At Panorama City,Ps in Lacey - Family
The Clinic At Panorama City,Ps - NPI 1598982324
The Clinic At Panorama City,Ps is a Family in Lacey, Washington. The Clinic At Panorama City,Ps practices all healthcare services and medical treatments related to Family. The NPI Number for The Clinic At Panorama City,Ps is 1598982324. The last update date is 2020-08-22.
The Clinic At Panorama City,Ps's current location address is 4044 15th Ln Se, Lacey, Washington. You can contact this provider via phone number 3604914460 and fax number 3604913090. The mailing address for The Clinic At Panorama City,Ps is 4044 15th Ln Se, Lacey, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Clinic At Panorama City,Ps |
|---|---|
| Address | 4044 15th Ln Se, Lacey, Washington |
| Phone Number | 3604914460 |
| Fax Number | 3604913090 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fairbrook L David |
| Credentials | MD |
| Telephone Number | 3604914460 |
NPI Number Detail
| NPI Number | 1598982324 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4044 15th Ln Se |
|---|---|
| City | Lacey |
| State | Washington (WA) |
| Post Code | 98503 |
| Phone Number | 3604914460 |
| Fax Number | 3604913090 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to The Clinic At Panorama City,Ps by the Centers for Medicare & Medicaid Services?
The The Clinic At Panorama City,Ps has been issued the NPI (National Provider Identifier) 1598982324 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where The Clinic At Panorama City,Ps is located?
The The Clinic At Panorama City,Ps is situated at the following address: 4044 15Th Ln Se, Lacey, WA, 98503.
What is The Clinic At Panorama City,Ps's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for The Clinic At Panorama City,Ps is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did The Clinic At Panorama City,Ps receive its 1598982324 assignment from the Centers for Medicare & Medicaid Services?
The The Clinic At Panorama City,Ps was assigned its 1598982324 on 2007-04-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the The Clinic At Panorama City,Ps's information last updated?
The The Clinic At Panorama City,Ps's information was last updated on 2020-08-22.
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