Lake Serene Clinic

LBN: Western Washington Medical Group, Inc Ps
Lake Serene Clinic is an health care organization with primary practice located at 3501 Shelby Rd Suite B, Lynnwood WA 98087-3599. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Western Washington Medical Group, Inc Ps can be contacted via phone (425) 742-9119, or through Friesen, Corey Don via phone (425) 742-9119.

Contact Information

Primary practice address
3501 Shelby Rd Suite B Lynnwood WA 98087-3599
Phone: (425) 742-9119
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Friesen, Corey Don
Phone: (425) 742-9119

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1003809229
LBN Legal business name Western Washington Medical Group, Inc Ps
DBA Doing business as Lake Serene Clinic
Authorized official Friesen, Corey Don
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Feb 23rd, 2016 - about 9 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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