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LAKE TYE EMERGENCY PHYSICIANS PLLC NPI 1467880518


NPI Information

NPI: 1467880518
Provider Name: LAKE TYE EMERGENCY PHYSICIANS PLLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
14701 179TH AVE SE
MONROE, WA
ZIP 98272
Phone: (360) 794-7497
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LAKE TYE EMERGENCY PHYSICIANS PLLC is an emergency medicine in Monroe, WA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. LAKE TYE EMERGENCY PHYSICIANS PLLC NPI is 1467880518. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14701 179TH AVE SE
MONROE, WA
ZIP 98272-108
Phone: (360) 794-7497

The provider's authorized official is Charles Mitchell .
The authorized official title is President and has the following contact phone number (469) 401-2386.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 10/29/2013.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207P00000XEmergency MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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