DR. EDWARD GREGORY LACLERGUE MD
NPI 1679646848
Family Medicine in Lacey, WA

Active since November 16, 2006
5130 CORPORATE CENTER CT SE, LACEY, WA 98503(360) 413-8600(360) 413-8822 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Edward Gregory Laclergue Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD GREGORY LACLERGUE MD (NPI 1679646848) is an individual family medicine provider in Lacey, Washington, licensed in Washington (MD00014428) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1679646848
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWARD GREGORY LACLERGUECredential: MD
Location Address5130 CORPORATE CENTER CT SELacey, WA 98503-5957
Mailing Address5130 Corporate Center Ct SeLacey, WA 98503-5957 · (360) 413-8600 · Fax (360) 413-8822
Fax(360) 413-8822
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1679646848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD00014428
Definition

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.

5130 CORPORATE CENTER CT SE, Lacey, WA 98503

Other Identifiers 2

Medicaid8216004WA
Other1679646848WA · Npi

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Clinical Medical Laboratory
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Clinical Medical Laboratory
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Nurse Practitioner (Family)
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Family Medicine
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Family Medicine
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Family Medicine
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Family Medicine
5130 CORPORATE CENTER CT SE
LACEY, WA 98503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679646848, enumerated as an "individual" on November 16, 2006.

The provider is located at 5130 CORPORATE CENTER CT SE LACEY, WA 98503 and the phone number is (360) 413-8600.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.