Lakewood Medical Clinic | |
10510 Gravelly Lake Dr Sw Lakewood WA 98499-5036 | |
(253) 589-7030 | |
(253) 597-4556 |
Full Name | Lakewood Medical Clinic |
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Speciality | Clinic/Center |
Location | 10510 Gravelly Lake Dr Sw, Lakewood, Washington |
Authorized Official Name and Position | David Flentge (CEO) |
Authorized Official Contact | 2535974550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lakewood Medical Clinic 1148 Broadway Ste 100 Tacoma WA 98402-3518 Ph: (253) 597-4550 | Lakewood Medical Clinic 10510 Gravelly Lake Dr Sw Lakewood WA 98499-5036 Ph: (253) 589-7030 |
NPI Number | 1013135235 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 06/07/2019 |
Medicare PECOS PAC ID | 1850201559 |
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Medicare Enrollment ID | O20110317000293 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013135235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Aileen Leslie Wedvik Arnp Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4909 108th St Sw, Lakewood, WA 98499 Phone: 253-581-3075 Fax: 253-581-3178 | |
Physican Care Nw Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5920 100th St Sw Ste 31, Lakewood, WA 98499 Phone: 253-584-3023 Fax: 253-582-1222 | |
Washington Practice Management, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4901 108th St Sw, Lakewood, WA 98499 Phone: 253-984-7247 | |
Avalon Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9315 Gravelly Lake Dr Sw, Suite 103, Lakewood, WA 98499 Phone: 253-582-8486 Fax: 253-582-2644 | |
The Lakewood Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11311 Bridgeport Way Sw, Ste 100, Lakewood, WA 98499 Phone: 253-581-6688 Fax: 253-512-2894 | |
Lakes Family Medicine-lakewood Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5202 100th St Sw, Lakewood, WA 98499 Phone: 253-588-3670 Fax: 253-588-3703 |