| NPI | 1164989026 |
|---|---|
| Doing Business As | LAKE WASHINGTON FOOT AND ANKLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | VINAI PRAKASH Owner 425-892-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |