# INTERLAKE MEDICAL CENTER, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619998978
- **Authorized official:** NORMAN H. LEOU M.D. (MANAGING DIRECTOR)
- **Authorized official phone:** (425) 746-2400

## Contact information

- **Practice address:** 2103 152ND AVE NE, REDMOND, WA 98052-5520
- **Practice address phone:** (425) 746-2400
- **Practice address fax:** (425) 746-2659
- **Mailing address:** 2103 152ND AVE NE, REDMOND, WA 98052-5520
- **Mailing address phone:** (425) 746-2400
- **Mailing address fax:** (425) 746-2659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 09/11/2025