| NPI | 1003809229 |
|---|---|
| Doing Business As | LAKE SERENE CLINIC |
| Entity Type | Organization |
| Authorized Contact | COREY DON FRIESEN CEO Administrator 425-742-9119 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2016-02-23 |