| Lakeshore Clinic Pllc | |
| 10025 Ne 186th St Bothell WA 98011-3839 | |
| (425) 486-9131 | |
| (425) 486-9490 | 
| Full Name | Lakeshore Clinic Pllc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 10025 Ne 186th St, Bothell, Washington | 
| Authorized Official Name and Position | Linda R Jeppesen (CEO) | 
| Authorized Official Contact | 4254869131 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lakeshore Clinic Pllc Po Box 646 Bothell WA 98041-0646 Ph: (425) 485-3955 | Lakeshore Clinic Pllc 10025 Ne 186th St Bothell WA 98011-3839 Ph: (425) 486-9131 | 
| NPI Number | 1841399870 | 
|---|---|
| Provider Enumeration Date | 09/22/2006 | 
| Last Update Date | 10/11/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841399870 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary | 
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| King County Public Hospital District No 2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10131 Main St, Bothell, WA 98011 Phone: 425-485-3955 Fax: 425-485-1476 | |
| Murray A Beighton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 228th St Sw, Bothell, WA 98021 Phone: 425-742-7953 Fax: 425-742-3683 | |
| Locknane Athletic Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18518 Bothell Way Ne Ste C, Bothell, WA 98011 Phone: 425-368-4242 Fax: 425-368-4243 | |
| Western Washington Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1909 214th St Se, Suite 211, Bothell, WA 98021 Phone: 425-420-1655 | |
| Kaiser Foundation Health Plan Of Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11913 Ne 195th St, Bothell, WA 98011 Phone: 425-489-3100 Fax: 425-489-3183 | |
| Maksportsmd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19110 Bothell Way Ne Ste 102, Bothell, WA 98011 Phone: 425-286-8271 Fax: 425-491-7271 | |
| Dr. Jaclyn Phan & Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1912 201st Pl Se, Suite 204, Bothell, WA 98012 Phone: 425-485-6812 Fax: 425-485-6813 |