| NPI | 1538429386 |
|---|---|
| Doing Business As | LAKE ASPEN CAMPUS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY REED Chief Operating Officer 509-248-7849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2013-11-25 |