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FRANCISCAN MEDICAL GROUP NPI 1841483450


NPI Information

NPI: 1841483450
Provider Name: FRANCISCAN MEDICAL GROUP

Doing Business As: LAKES FAMILY MEDICINE-BONNIE LAKE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
8412 MYERS RD E
STE 203
BONNEY LAKE, WA
ZIP 98391
Phone: (253) 863-2587
Get Directions

FRANCISCAN MEDICAL GROUP is a family medicine in Bonney Lake, 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. FRANCISCAN MEDICAL GROUP NPI is 1841483450. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lakes Family Medicine-bonnie Lake.

The provider's business location address is:

8412 MYERS RD E
STE 203
BONNEY LAKE, WA
ZIP 98391-112
Phone: (253) 863-2587
Fax: (253) 863-2588

The provider's authorized official is Cliff A. Robertson .
The authorized official title is President/ Chief Medical Officer and has the following contact phone number (253) 779-6101.

The enumeration date for this NPI number is 8/27/2007 and was last updated on 2/20/2008.


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
1207Q00000XFamily MedicineWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10224335OTHERWASHINGTONSTATE L&I
27139181MEDICAIDWASHINGTON
3GAB07308MEDICARE PINWASHINGTON
4AB07308MEDICARE PINWASHINGTON

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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