LAKEWOOD SURGICAL UROLOGY PS

LAKEWOOD, WA
NPI1215023940
Entity TypeOrganization
Authorized ContactJOHN B BAK
Owner/Provider
253-581-7000
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: WA  MD00044997)
Enumeration Date2006-10-04
Last Update Date2020-08-22
Business Address
LAKEWOOD SURGICAL UROLOGY PS
11306 BRIDGEPORT WAY SW SUITE D
LAKEWOOD, WA 98499-3005
Phone number: 253-581-7000
Mailing Address
LAKEWOOD SURGICAL UROLOGY PS
PO BOX 97115
LAKEWOOD, WA 98497-0115
Phone number: 253-588-7911
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