Lake Forest Park Medical Clinic

LBN: Lake Forest Park Clinic Tr
Lake Forest Park Medical Clinic is an health care organization with primary practice located at 17191 Bothell Way Ne , Lake Forest Park WA 98155-5534. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lake Forest Park Clinic Tr can be contacted via phone (206) 365-6768, or through Schneider, Charles William via phone (206) 368-1700.

Contact Information

Primary practice address
17191 Bothell Way Ne Lake Forest Park WA 98155-5534
Phone: (206) 365-6768
Fax: (206) 364-5418
Website:
Map and Directions
Authorized official contact:
Name: Schneider, Charles William
Phone: (206) 368-1700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1548222102
LBN Legal business name Lake Forest Park Clinic Tr
DBA Doing business as Lake Forest Park Medical Clinic
Authorized official Schneider, Charles William
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2006
Last updated Apr 21st, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548222102 NPPES
Washington Other CJ6346 RAILROAD MEDICARE

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