Lakeshore Clinic Pllc
LBN: Lakeshore Clinic Pllc
Lakeshore Clinic Pllc is an health care organization with primary practice located at 10131 Main St , Bothell WA 98011-3425. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Lakeshore Clinic Pllc can be contacted via phone (425) 485-3955, or through Jeppesen, Linda R via phone (425) 485-3955.
Contact Information
Primary practice address
10131 Main St
Bothell WA 98011-3425
Phone: (425) 485-3955
Fax: (425) 485-1476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X |
Profile Details
| NPI number | 1922052422 |
|---|---|
| LBN Legal business name | Lakeshore Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Jeppesen, Linda R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Feb 18th, 2014 - about 11 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 | 1922052422 | NPPES |
| Washington | Other | G217116700 | PTAN |
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