Pioneer Family Practice, Pllc
NPI #1205965365 in Lacey, Washington
Provider Information
- NPI Number
- 1205965365
- Entity Type
- Organization
- Organization Name
- Pioneer Family Practice, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 5130 CORPORATE CENTER CT SE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-5957
- Phone
- (360) 413-8600
Authorized Official
- Name
- DIANE M TAYLOR
- Title
- BUSINESS MANAGER
- Phone
- (360) 413-8617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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