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

LAKELAND VILLAGE

Active Organization

ICF/Individuals with Intellectual Disabilities · MEDICAL LAKE, WA

Registration Details

NPI Number
1366594228
Provider Type
Organization
NPI Issued
Jan 18, 2007 (19.267484834697 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
S 2320 SALNAVE ROAD
MEDICAL LAKE, WA, 990220200
Browse WA providers · Browse ZIP 99022
Phone
5092991001
Fax
5092991070
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.