Lighthouse Pediatric Medicine Pllc

NPI #1336967611 in Issaquah, Washington

Provider Information

NPI Number: 1336967611
Entity Type: Organization
Organization Name: Lighthouse Pediatric Medicine Pllc
Primary Specialty: Pediatrics
Enumeration Date: Sep 26, 2024
Last Updated: Sep 26, 2024

Practice Location

Address: 1505 NW GILMAN BLVD STE 8
City: Issaquah
State: Washington
ZIP Code: 98027-5398
Phone: (425) 243-3599

Authorized Official

Name: DR. SUNG PARK, MD
Title: MANAGING MEMBER, PHYSICIAN, OWNER
Phone: (425) 243-3599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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