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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 (PRESIDENT/CMO)
(253) 779-6101
Entity
Organization

Contact information

Practice address
11311 BRIDGEPORT WAY SW, STE 309, LAKEWOOD, WA 98499-3071
(253) 779-6215
Mailing address
11311 BRIDGEPORT WAY SW, STE 309, LAKEWOOD, WA 98499-3071

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
06/24/2008
Last updated
06/24/2008
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