The Clinic At Panorama City,ps | |
4044 15th Ln Se Suite A Lacey WA 98503 | |
(360) 491-4460 | |
(360) 491-3090 |
Full Name | The Clinic At Panorama City,ps |
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Speciality | Nurse Practitioner - Family |
Location | 4044 15th Ln Se, Lacey, Washington |
Authorized Official Name and Position | David L Fairbrook (OWNER) |
Authorized Official Contact | 3604914460 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Clinic At Panorama City,ps 4044 15th Ln Se Suite A Lacey WA 98503 Ph: (360) 491-4460 | The Clinic At Panorama City,ps 4044 15th Ln Se Suite A Lacey WA 98503 Ph: (360) 491-4460 |
NPI Number | 1598982324 |
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Provider Enumeration Date | 04/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1598982324 | NPI | - | NPPES |
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