# LAKE WASHINGTON PRIMARY CARE LLC

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

## Provider details

- **NPI number:** 1902309313
- **Authorized official:** DR. ROBERT GOODE MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (206) 898-2416

## Contact information

- **Practice address:** 8015 SE 28TH ST STE 310, MERCER ISLAND, WA 98040-2910
- **Practice address phone:** (206) 898-2416
- **Practice address fax:** (877) 771-1013
- **Mailing address:** 8015 SE 28TH ST STE 310, MERCER ISLAND, WA 98040-2910
- **Mailing address phone:** (206) 898-2416
- **Mailing address fax:** (877) 771-1013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 33004 | WA | Yes |

## Other

- **Enumeration date:** 03/12/2018
- **Last updated:** 03/12/2018