| Lakeshore Clinic Totem Lake | |
|
12710 Totem Lake Blvd Ne Kirkland WA 98034-2907 | |
| (425) 821-4040 | |
| (425) 820-5060 |
| Full Name | Lakeshore Clinic Totem Lake |
|---|---|
| Speciality | Family Medicine |
| Location | 12710 Totem Lake Blvd Ne, Kirkland, Washington |
| Authorized Official Name and Position | Linda R Jeppesen (CEO) |
| Authorized Official Contact | 4254853955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Clinic Totem Lake Po Box 646 Bothell WA 98041-0646 Ph: (425) 485-3955 | Lakeshore Clinic Totem Lake 12710 Totem Lake Blvd Ne Kirkland WA 98034-2907 Ph: (425) 821-4040 |
| NPI Number | 1346345972 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 10/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346345972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
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