The Clinic at Panorama City,ps
NPI #1598982324 in Lacey, Washington
Provider Information
- NPI Number
- 1598982324
- Entity Type
- Organization
- Organization Name
- The Clinic at Panorama City,ps
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Apr 20, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 4044 15TH LN SE
- Address 2
- SUITE A
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503
- Phone
- (360) 491-4460
Authorized Official
- Name
- DR. DAVID L FAIRBROOK, MD
- Title
- OWNER
- Phone
- (360) 491-4460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
| Nurse Practitioner - Family — Family |
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