| NPI | 1013135235 |
|---|---|
| Other Name | LAKEWOOD MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID FLENTGE CEO 253-597-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-06-07 |