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ALDERWOOD ANKLE & FOOT CLINIC P.S. NPI 1609065713


NPI Information

NPI: 1609065713
Provider Name: ALDERWOOD ANKLE & FOOT CLINIC P.S.

Doing Business As: LAKE STEVENS ANKLE & FOOT CLINIC

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
3500 188TH ST SW STE 110
LYNNWOOD, WA
ZIP 98037
Phone: (425) 778-5666
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ALDERWOOD ANKLE & FOOT CLINIC P.S. is a podiatric clinic center in Lynnwood, WA. ALDERWOOD ANKLE & FOOT CLINIC P.S. NPI is 1609065713. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Stevens Ankle & Foot Clinic.

The provider's business location address is:

3500 188TH ST SW STE 110
LYNNWOOD, WA
ZIP 98037-757
Phone: (425) 778-5666
Fax: (425) 771-5374

The provider's authorized official is Don B Floyd .
The authorized official title is President and has the following contact phone number (425) 778-5666.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 6/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP1100XClinic/CenterPodiatricPO00000346WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GAB27172MEDICARE PINWASHINGTON
24617710001MEDICARE NSCWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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