Lacambra Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00042828 Issued in WA

Legal business name

LACAMBRA SERVICES INC

Practice address

7205 Martin Way E
Suite a-69
Olympia, WA 98516-5555

Phone

(206) 403-7410

NPI assigned

Aug 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Lacambra

Title

Ceo

Phone

(206) 403-7410

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1073828976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 MARTIN WAY E",
            "address_2": "SUITE A-69",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 MARTIN WAY E",
            "address_2": "SUITE A-69",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165555",
            "telephone_number": "206-403-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACAMBRA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "LACAMBRA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-403-7410"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00042828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.