# FRANCISCAN MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FRANCISCAN MEDICAL GROUP
- **Other names:** FMG-Lakes Anesthesia
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205096245
- **Legal business name:** FRANCISCAN MEDICAL GROUP
- **Authorized official:** CLIFF ROBERTSON MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (253) 779-6101

## Contact information

- **Practice address:** 1313 BROADWAY, STE 200, TACOMA, WA 98402-3400
- **Practice address phone:** (253) 581-6403
- **Practice address fax:** (253) 565-9765
- **Mailing address:** 1313 BROADWAY, STE 200, TACOMA, WA 98402-3400
- **Mailing address phone:** (253) 581-6403
- **Mailing address fax:** (253) 565-9765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 06/12/2008