| NPI | 1265765309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE LUKENS President 253-572-7101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP00000600) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA OP00000600) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |