Lake Washington Primary Care LLC

NPI #1902309313 in Mercer Island, Washington

Provider Information

NPI Number
1902309313
Entity Type
Organization
Organization Name
Lake Washington Primary Care LLC
Primary Specialty
Family Medicine
Enumeration Date
Mar 12, 2018
Last Updated
Mar 12, 2018

Practice Location

Address
8015 SE 28TH ST STE 310
ZIP Code
98040-2910
Phone
(206) 898-2416

Authorized Official

Name
DR. ROBERT GOODE, MD
Title
PHYSICIAN/OWNER
Phone
(206) 898-2416

Specialties & Taxonomy Codes

Specialty
Family Medicine

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