Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
Lakes Family Medicine-Lakewood
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
CLIFF A. ROBERTSON (PRESIDENT/ CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
5202 100TH ST SW, LAKEWOOD, WA 98499-3892
(253) 588-3670
(253) 588-3703
Mailing address
5202 100TH ST SW, LAKEWOOD, WA 98499-3892
(253) 588-3670
(253) 588-3703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0224336
STATE L&I
WA
05
—
7139157
—
WA
Enumeration date
08/30/2007
Last updated
02/20/2008
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