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LAKESHORE CLINIC PLLC
NPI 1922052422
Family Medicine in Bothell, WA

Active since May 19, 2006
10131 MAIN ST, BOTHELL, WA 98011(425) 485-3955(425) 485-1476 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeshore Clinic Pllc NPPES

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

LAKESHORE CLINIC PLLC (NPI 1922052422) is a healthcare organization registered as a family medicine in Bothell, Washington and active in the NPI registry since May 2006. The organization lists Linda R Jeppesen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922052422
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESHORE CLINIC PLLC
Location Address10131 MAIN STBothell, WA 98011-3425
Mailing AddressPo Box 646Bothell, WA 98041-0646 · (425) 485-3955 · Fax (425) 485-1476
Phone(425) 485-3955
Fax(425) 485-1476
Organization SubpartNo
Authorized OfficialLinda R JeppesenCeo · (425) 485-3955
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 18, 2014
✔ NPI 1922052422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPodiatristTaxonomy 213E00000X
10131 MAIN ST, Bothell, WA 98011
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Other Identifiers 2

OtherG217116700WA · Ptan
Medicare UPIN217116700WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Family Medicine
10131 MAIN ST
BOTHELL, WA 98011
King County (425) 485-3955
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Family Medicine
10131 MAIN ST
BOTHELL, WA 98011
King County (425) 485-3955

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeshore Clinic PLLC's NPI number?

The NPI number for Lakeshore Clinic PLLC is 1922052422. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Lakeshore Clinic PLLC located?

Lakeshore Clinic PLLC is located at 10131 Main St, Bothell, WA 98011. The listed phone number is (425) 485-3955.

What is Lakeshore Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lakeshore Clinic PLLC was last updated on February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.