Organization
LAKES ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE M MERCED MD (VICE-PRESIDENT)
(253) 581-6403
Entity
Organization
Contact information
Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499
(253) 581-6403
Mailing address
PO BOX 11626, TACOMA, WA 98411-6626
(253) 565-9765
(253) 584-6544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/03/2005
Last updated
08/22/2020
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