Lake Hills Medical Associates | |
14858 Lake Hills Blvd Bellevue WA 98007-5809 | |
(425) 644-2808 | |
(425) 644-2682 |
Full Name | Lake Hills Medical Associates |
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Speciality | Family Medicine |
Location | 14858 Lake Hills Blvd, Bellevue, Washington |
Authorized Official Name and Position | Tara Ann Young (OFFICE MANAGER) |
Authorized Official Contact | 4256442808 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lake Hills Medical Associates 14858 Lake Hills Blvd Bellevue WA 98007-5809 Ph: (425) 644-2808 | Lake Hills Medical Associates 14858 Lake Hills Blvd Bellevue WA 98007-5809 Ph: (425) 644-2808 |
NPI Number | 1548495138 |
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Provider Enumeration Date | 05/26/2009 |
Last Update Date | 03/21/2011 |
Medicare PECOS PAC ID | 1456406602 |
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Medicare Enrollment ID | O20090911000352 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548495138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00047144 (Washington) | Primary |
Provider Name | George Y Lee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972642130 PECOS PAC ID: 3375522451 Enrollment ID: I20070906000127 |
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