Lake Forest Park Clinic Tr
NPI #1548222102 in Lake Forest Park, Washington
Provider Information
- NPI Number
- 1548222102
- Entity Type
- Organization
- Organization Name
- Lake Forest Park Clinic Tr
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 6, 2006
- Last Updated
- Apr 21, 2011
Practice Location
- Address
- 17191 BOTHELL WAY NE
- City
- Lake Forest Park
- State
- Washington
- ZIP Code
- 98155-5534
- Phone
- (206) 365-6768
Authorized Official
- Name
- MRS. CHARLES WILLIAM SCHNEIDER
- Title
- PRES/CEO
- Phone
- (206) 368-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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