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LAKE FOREST FAMILY HEALTH PLLC NPI 1770817322


NPI Information

NPI: 1770817322
Provider Name: LAKE FOREST FAMILY HEALTH, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4987 W UNIVERSITY DR
SUITE 150
MCKINNEY, TX
ZIP 75071
Phone: (972) 542-8464
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LAKE FOREST FAMILY HEALTH, PLLC is a family medicine in Mckinney, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LAKE FOREST FAMILY HEALTH, PLLC NPI is 1770817322. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4987 W UNIVERSITY DR
SUITE 150
MCKINNEY, TX
ZIP 75071-072
Phone: (972) 542-8464
Fax: (972) 542-8468

The provider's authorized official is Washington Ken .
The authorized official title is President and has the following contact phone number (615) 372-5170.

The enumeration date for this NPI number is 9/30/2009 and was last updated on 7/1/2013.


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
1207QS0010XFamily MedicineSports MedicineK6565TEXASNo
2207Q00000XFamily MedicineK6565TEXASYes

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
1G92251MEDICARE UPINTEXAS
2TXB127287MEDICARE UPINTEXAS
3284230401MEDICAIDTEXAS
4P00942831OTHERTEXASRAILROAD MEDICARE

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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