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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE TAPPS FAMILY MEDICINE, PLLC

Active Organization

LAKE TAPPS FAMILY MEDICINE, PLLC is a Family Medicine organization located in LAKE TAPPS, Washington. NPI 1245406032 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LAKE TAPPS, WA

Registration Details

NPI Number
1245406032
Provider Type
Organization
NPI Issued
May 1, 2008 (18.280519087111 yrs)
Last Updated
Mar 18, 2016
Licenses
MD00009217 (WA)
PA10005138 (WA)
PA10005081 (WA)
MD00036049 (WA)

Practice Information

Address
3920 W TAPPS DR E
LAKE TAPPS, WA, 983919176
Browse WA providers · Browse ZIP 98391
Phone
2538628001
Fax
2538264792
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.