| NPI | 1609153766 |
|---|---|
| Doing Business As | MEDICAL LAKE VETERINARY CLINIC |
| Entity Type | Organization |
| Authorized Contact | TRINA ROSE DUTTON Veterinarian/Owner 509-299-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: WA VT60108256) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |