LAKE WASHINGTON VASCULAR PLLC is a vascular surgery surgery in Bellevue, WA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. LAKE WASHINGTON VASCULAR PLLC NPI is 1942292875. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1135 116TH AVE NE STE 305
BELLEVUE, WA
ZIP 98004-623
Phone: (425) 453-1772
Fax: (425) 453-0603
The provider's authorized official is Daniel Pepper .
The authorized official title is Managing Partner, Pllc and has the following contact phone number (425) 453-1772.
The CLIA number assigned to this NPI record is 50D1101180 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/17/2005 and was last updated on 2/25/2015.