The Lakewood Clinic
LBN: Franciscan Medical Group
The Lakewood Clinic is an health care organization with primary practice located at 11311 Bridgeport Way Sw Ste 100, Lakewood WA 98499-3071. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Franciscan Medical Group can be contacted via phone (253) 581-6688, or through Robertson, Cliff via phone (253) 779-6101.
Contact Information
Primary practice address
11311 Bridgeport Way Sw Ste 100
Lakewood WA 98499-3071
Phone: (253) 581-6688
Fax: (253) 512-2894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1093723439 |
|---|---|
| LBN Legal business name | Franciscan Medical Group |
| DBA Doing business as | The Lakewood Clinic |
| Authorized official | Robertson, Cliff Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jun 20th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093723439 | NPPES |
| Washington | Other | 0193323 | STATE L&I |
| Washington | MEDICAID | 7125057 | STATE L&I |
| Washington | MEDICAID | 7130685 | STATE L&I |
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