| Lakes Family Medicine, Ps | |
|
10116 116th St E Suite 101 Puyallup WA 98373-3543 | |
| (253) 864-0224 | |
| (253) 864-0634 |
| Full Name | Lakes Family Medicine, Ps |
|---|---|
| Speciality | Clinic/center |
| Location | 10116 116th St E, Puyallup, Washington |
| Authorized Official Name and Position | Linh T Huynh (OWNER) |
| Authorized Official Contact | 2538640224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Family Medicine, Ps 10116 116th St E Suite 101 Puyallup WA 98373-3543 Ph: (253) 864-0224 | Lakes Family Medicine, Ps 10116 116th St E Suite 101 Puyallup WA 98373-3543 Ph: (253) 864-0224 |
| NPI Number | 1386754661 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386754661 | NPI | - | NPPES |
| 8250888 | Medicaid | WA | |
| 8251944 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD0037764 (Washington) | Primary |
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