| NPI | 1871786483 |
|---|---|
| Doing Business As | LAKES FAMILY MEDICINE-PUYALLUP |
| Entity Type | Organization |
| Authorized Contact | CLIFF A. ROBERTSON President/ Chief Medical Officer 253-779-6101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2008-02-20 |