Organization
LAKES FAMILY MEDICINE, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINH T HUYNH MD (OWNER)
(253) 864-0224
Entity
Organization
Contact information
Practice address
10116 116TH ST E, SUITE 101, PUYALLUP, WA 98373-3543
(253) 864-0224
(253) 864-0634
Mailing address
10116 116TH ST E, SUITE 101, PUYALLUP, WA 98373-3543
(253) 864-0224
(253) 864-0634
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD0037764
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8250888
—
WA
05
—
8251944
—
WA
Enumeration date
08/30/2006
Last updated
08/22/2020
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