Organization
NORTHWEST FAMILY CARE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUONG THI LAKIN D.O. (PHYSICIAN)
(360) 413-8447
Entity
Organization
Contact information
Practice address
5203 LACEY BLVD SE, SUITE A, LACEY, WA 98503-7236
(360) 413-8447
(360) 413-8493
Mailing address
5203 LACEY BLVD SE, SUITE A, LACEY, WA 98503-7236
(360) 413-8447
(360) 413-8493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001767
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8298416
—
WA
Enumeration date
02/19/2007
Last updated
08/22/2020
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