Lake Wilderness Medical Clinic LLC
NPI #1982879045 in Maple Valley, Washington
Provider Information
- NPI Number
- 1982879045
- Entity Type
- Organization
- Organization Name
- Lake Wilderness Medical Clinic LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Apr 29, 2008
- Last Updated
- Apr 29, 2008
Practice Location
- Address
- 26907 MAPLE VALLEY BLACK DIAMOND RD SE
- City
- Maple Valley
- State
- Washington
- ZIP Code
- 98038-8314
- Phone
- (425) 432-9611
Authorized Official
- Name
- CHESTER E JANGALA JR., MD
- Title
- PHYSICIAN
- Phone
- (425) 432-9611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
Similar Providers
| Provider Name | |
|---|---|
| Providence Health & Services - Washington |  AI Deep Dive |
| Community Home Care, LLC | AI Deep Dive |
| Faith & Spirit, Inc. DBA Right at Home | AI Deep Dive |
| Belair House Adult Family Home | AI Deep Dive |
| East Slope Neuropsychology, Inc. | AI Deep Dive |
Want to research this healthcare provider further?