Organization
FRANCISCAN MEDICAL GROUP
Active
Parent organization
FRANCISCAN MEDICAL GROUP
Other names
FMG-The Lakewood Clinic, Family Medicine and Women's HealthCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN MEDICAL GROUP
Authorized official
DR. CLIFF A ROBERTSON MD (CHIEF MEDICAL OFFICER)
(253) 779-6101
Entity
Organization
Contact information
Practice address
11307 BRIDGEPORT WAY SW, STE 220, LAKEWOOD, WA 98499-3004
(253) 512-2744
Mailing address
11307 BRIDGEPORT WAY SW, STE 220, LAKEWOOD, WA 98499-3004
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD00046473
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0193321
STATE L&I
WA
05
—
7125800
—
WA
01
—
8928221
STATE CRIME VICTIMS
WA
Enumeration date
05/24/2006
Last updated
10/31/2008
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