| Lake Washington Primary Care Llc | |
|
8015 Se 28th St Ste 310 Mercer Island WA 98040-2910 | |
| (206) 898-2416 | |
| (877) 771-1013 |
| Full Name | Lake Washington Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8015 Se 28th St Ste 310, Mercer Island, Washington |
| Authorized Official Name and Position | Robert Goode (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2068982416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Washington Primary Care Llc 8015 Se 28th St Ste 310 Mercer Island WA 98040-2910 Ph: (206) 898-2416 | Lake Washington Primary Care Llc 8015 Se 28th St Ste 310 Mercer Island WA 98040-2910 Ph: (206) 898-2416 |
| NPI Number | 1902309313 |
|---|---|
| Provider Enumeration Date | 03/12/2018 |
| Last Update Date | 03/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902309313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33004 (Washington) | Primary |
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