| Lakeshore Clinic Pllc | |
|
10131 Main St Bothell WA 98011-3425 | |
| (425) 485-3955 | |
| (425) 485-1476 |
| Full Name | Lakeshore Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 10131 Main St, Bothell, Washington |
| Authorized Official Name and Position | Linda R Jeppesen (CEO) |
| Authorized Official Contact | 4254853955 |
| 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 10131 Main St Bothell WA 98011-3425 Ph: (425) 485-3955 |
| NPI Number | 1922052422 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 02/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922052422 | NPI | - | NPPES |
| G217116700 | Other | WA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
Evergreenhealth Lakeshore Bothell Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10131 Main St, Bothell, WA 98011 Phone: 425-485-3955 Fax: 425-485-1476 | |
Twilight Years Geriatric Care 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 | |
Northshore Medical Center 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 | |
Comfort Vision 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 | |
Bothell Foot & Ankle Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18525 101st Ave Ne Ste 3, Bothell, WA 98011 Phone: 425-806-1943 Fax: 425-402-3900 | |
Canyon Creek Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19125 N Creek Pkwy, Suite 204, Bothell, WA 98011 Phone: 425-424-2201 Fax: 425-398-4172 |