Lakewood Surgical Urology Ps

NPI #1215023940 in Lakewood, Washington

Provider Information

NPI Number: 1215023940
Entity Type: Organization
Organization Name: Lakewood Surgical Urology Ps
Primary Specialty: Urology
Enumeration Date: Oct 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 11306 BRIDGEPORT WAY SW
Address 2: SUITE D
City: Lakewood
State: Washington
ZIP Code: 98499-3005
Phone: (253) 581-7000

Authorized Official

Name: DR. JOHN B BAK, MD
Title: OWNER/PROVIDER
Phone: (253) 581-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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