| Lake Serene Clinic | |
|
3501 Shelby Rd Suite B Lynnwood WA 98087-3599 | |
| (425) 742-9119 | |
| Not Available |
| Full Name | Lake Serene Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3501 Shelby Rd, Lynnwood, Washington |
| Authorized Official Name and Position | Corey Don Friesen (CEO ADMINISTRATOR) |
| Authorized Official Contact | 4257429119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Serene Clinic 3501 Shelby Rd Suite B Lynnwood WA 98087-3599 Ph: (425) 742-9119 | Lake Serene Clinic 3501 Shelby Rd Suite B Lynnwood WA 98087-3599 Ph: (425) 742-9119 |
| NPI Number | 1003809229 |
|---|---|
| Provider Enumeration Date | 08/23/2005 |
| Last Update Date | 02/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003809229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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