| Northwest Family Care Clinic Pllc | |
|
5203 Lacey Blvd Se Suite A Lacey WA 98503-7236 | |
| (360) 413-8447 | |
| (360) 413-8493 |
| Full Name | Northwest Family Care Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5203 Lacey Blvd Se, Lacey, Washington |
| Authorized Official Name and Position | Huong Thi Lakin (PHYSICIAN) |
| Authorized Official Contact | 3604138447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Family Care Clinic Pllc 5203 Lacey Blvd Se Suite A Lacey WA 98503-7236 Ph: (360) 413-8447 | Northwest Family Care Clinic Pllc 5203 Lacey Blvd Se Suite A Lacey WA 98503-7236 Ph: (360) 413-8447 |
| NPI Number | 1386788537 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386788537 | NPI | - | NPPES |
| 8298416 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00001767 (Washington) | Primary |
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