Lake Wilderness Medical Clinic Llc
LAKE WILDERNESS MEDICAL CLINIC LLC official legal name LAKE WILDERNESS MEDICAL CLINIC LLC is located at 26907 MAPLE VALLEY BLACK DIAMOND RD SE, Maple Valley, Washington. LAKE WILDERNESS MEDICAL CLINIC LLC primary taxonomy is Exclusive Provider Organization in the state of Washington.
| Organization Legal Name | LAKE WILDERNESS MEDICAL CLINIC LLC |
| NPI | 1982879045 |
| City | Maple Valley |
| State | Washington |
| Address 1 | 26907 MAPLE VALLEY BLACK DIAMOND RD SE |
| Postal Code | 98051 |
| Phone | 4254329611 |
| Fax | 2069735399 |
Related medical specializations
| Taxonomy ID | Grouping | Classification | Specialization |
|---|---|---|
| 302F00000X | Managed Care Organizations | Exclusive Provider Organization |