# LAKE WASHINGTON PRIVATE MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Washington Pain Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427109271
- **Authorized official:** DR. DAVID KEITH NAIBERT MD (OWNER)
- **Authorized official phone:** (425) 678-8534

## Contact information

- **Practice address:** 13122 120TH AVE NE, KIRKLAND, WA 98034-3014
- **Practice address phone:** (425) 678-8534
- **Practice address fax:** (425) 678-8564
- **Mailing address:** 13122 120TH AVE NE, KIRKLAND, WA 98034-3014
- **Mailing address phone:** (425) 678-8534
- **Mailing address fax:** (425) 678-8564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 602289671 | WA | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 01/01/2024
