# LAKE TAPPS FAMILY MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Tapps Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245406032
- **Authorized official:** DR. LILA MAUREEN DAY MD 00036049 WA (MD)
- **Authorized official phone:** (253) 862-8001

## Contact information

- **Practice address:** 3920 W TAPPS DR E, LAKE TAPPS, WA 98391-9176
- **Practice address phone:** (253) 862-8001
- **Practice address fax:** (253) 826-4792
- **Mailing address:** 3920 W TAPPS DR E, LAKE TAPPS, WA 98391-9176
- **Mailing address phone:** (253) 862-8001
- **Mailing address fax:** (253) 826-4792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD00009217 | WA | — |
| 207Q00000X | Family Medicine Physician | MD00036049 | WA | Yes |
| 363A00000X | Physician Assistant | PA10005081 | WA | — |
| 363A00000X | Physician Assistant | PA10005138 | WA | — |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 03/18/2016