PIONEER FAMILY PRACTICE PLLC NPI 1205965365

NPI Information

PIONEER FAMILY PRACTICE, PLLC is a family medicine in Lacey, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PIONEER FAMILY PRACTICE, PLLC NPI is 1205965365. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5130 CORPORATE CENTER CT SE
LACEY, WA
ZIP 98503-957
Phone: (360) 413-8600
Fax: (360) 413-8822

The provider's authorized official is Diane M Taylor .
The authorized official title is Business Manager and has the following contact phone number (360) 413-8617.

The CLIA number assigned to this NPI record is 50D0993310 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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