Organization
LIGHTHOUSE PEDIATRIC MEDICINE PLLC
Active
Other names
Lighthouse Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNG PARK MD (MANAGING MEMBER, PHYSICIAN, OWNER)
(425) 243-3599
Entity
Organization
Contact information
Practice address
1505 NW GILMAN BLVD STE 8, ISSAQUAH, WA 98027-5398
(425) 243-3599
Mailing address
1505 NW GILMAN BLVD STE 8, ISSAQUAH, WA 98027-5398
(425) 243-3599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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