Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
The Lakewood Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF ROBERTSON MD (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
11311 BRIDGEPORT WAY SW, STE 100, LAKEWOOD, WA 98499-3071
(253) 581-6688
(253) 512-2894
Mailing address
11311 BRIDGEPORT WAY SW, STE 100, LAKEWOOD, WA 98499-3071
(253) 581-6688
(253) 512-2894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0193323
STATE L&I
WA
05
—
7125057
—
WA
05
—
7130685
—
WA
Enumeration date
08/03/2006
Last updated
06/20/2008
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