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FRANCISCAN MEDICAL GROUP NPI 1871786483


NPI Information

NPI: 1871786483
Provider Name: FRANCISCAN MEDICAL GROUP

Doing Business As: LAKES FAMILY MEDICINE-PUYALLUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
10116 116TH ST E
STE 101
PUYALLUP, WA
ZIP 98373
Phone: (253) 864-0224
Get Directions

FRANCISCAN MEDICAL GROUP is a family medicine in Puyallup, 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 1871786483. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lakes Family Medicine-puyallup.

The provider's business location address is:

10116 116TH ST E
STE 101
PUYALLUP, WA
ZIP 98373-543
Phone: (253) 864-0224
Fax: (253) 864-0634

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AB07308MEDICARE PINWASHINGTON
2GAB07308MEDICARE PINWASHINGTON
37139173MEDICAIDWASHINGTON
40224333OTHERWASHINGTONSTATE L&I

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: 4/28/2024

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