| Lake Hills Medical Assoc | |
|
14858 Lake Hills Blvd Bellevue WA 98007-5821 | |
| (208) 816-1332 | |
| Not Available |
| Full Name | Lake Hills Medical Assoc |
|---|---|
| Speciality | Family Medicine |
| Location | 14858 Lake Hills Blvd, Bellevue, Washington |
| Authorized Official Name and Position | Amy L Larson (OFFICE MANAGER) |
| Authorized Official Contact | 2087988968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Hills Medical Assoc 1525 Burrell Dr Lewiston ID 83501-5827 Ph: (208) 816-1332 | Lake Hills Medical Assoc 14858 Lake Hills Blvd Bellevue WA 98007-5821 Ph: (208) 816-1332 |
| NPI Number | 1740260892 |
|---|---|
| Provider Enumeration Date | 01/17/2006 |
| Last Update Date | 01/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740260892 | NPI | - | NPPES |
| 7081771 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00015580 (Washington) | Primary |
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