Dr Samual Kelly Lavis, DO - Family Medicine in Arlington, WA

Dr Samual Kelly Lavis, DO is a Family Medicine physician based in Arlington, Washington. Dr Samual Kelly Lavis is licensed to practice in Washington (license number OP61122427) and his current practice location is 3823 172nd St Ne, Arlington, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 657-8700.

NPI number for Dr Samual Kelly Lavis is 1508429093 and his current mailing address is 1400 E Kincaid St, Mount Vernon, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508429093.

Contact Information

Dr Samual Kelly Lavis, DO
3823 172nd St Ne,
Arlington, WA 98223-7735
(360) 657-8700
(360) 657-8717

Map and Direction




Physician's Profile

Full NameDr Samual Kelly Lavis
GenderMale
SpecialityFamily Medicine
Location3823 172nd St Ne, Arlington, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508429093
  • Provider Enumeration Date: 04/19/2019
  • Last Update Date: 11/16/2022

Medical Identifiers

Medical identifiers for Dr Samual Kelly Lavis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508429093NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OP61122427 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samual Kelly Lavis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Samual Kelly Lavis, DO
1400 E Kincaid St,
Mount Vernon, WA 98274-4127

Ph: () -
Dr Samual Kelly Lavis, DO
3823 172nd St Ne,
Arlington, WA 98223-7735

Ph: (360) 657-8700

Reviews and Comments


Family Medicine Doctors in Arlington, WA

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