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Organization
VINTAGE DIRECT PRIMARY CARE
Active
Organization
VINTAGE DIRECT PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER MICHAEL LEHMANN MD (OWNER)
(360) 860-3020
Entity
Organization
Contact information
Practice address
25985 BARBR CUTFF RD NE STE B1, KINGSTON, WA 98346-9596
(360) 860-3020
Mailing address
19319 7TH AVE NE STE 114, POULSBO, WA 98370-7442
(360) 930-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00033623
WA
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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