Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKE WILDERNESS MEDICAL CLINIC LLC
Active OrganizationLAKE WILDERNESS MEDICAL CLINIC LLC is a Exclusive Provider Organization organization located in MAPLE VALLEY, Washington. NPI 1982879045 is currently active in the NPPES registry. Verify at CMS.
Exclusive Provider Organization · MAPLE VALLEY, WA
Registration Details
- NPI Number
- 1982879045
- Provider Type
- Organization
- NPI Issued
- Apr 29, 2008 (18.312466611285 yrs)
- Last Updated
- Apr 29, 2008
- License
-
MD00023662 (WA)
Practice Information
- Address
-
26907 MAPLE VALLEY BLACK DIAMOND RD SEMAPLE VALLEY, WA, 980388314Browse WA providers · Browse ZIP 98038
- Phone
- 4254329611
- Fax
- 2069735399
- Primary Specialty
-
Exclusive Provider Organization
302F00000X
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.