Active NPI
Northwest Family Care Clinic PLLC
- Family Medicine Physician
- Lacey, WA
National Provider Identifier
1386788537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP00001767
- Legal business name
- NORTHWEST FAMILY CARE CLINIC PLLC
- Practice address
- 5203 Lacey Blvd SE
Suite a
Lacey, WA 98503-7236 - Phone
- (360) 413-8447
- Fax
- (360) 413-8493
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Huong Thi Lakin, D.O.
- Title
- Physician
- Phone
- (360) 413-8447
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP00001767 | WA | Primary |
Addresses
Primary practice location
5203 Lacey Blvd SE
Suite a
Lacey, WA 98503-7236
Mailing address
5203 Lacey Blvd SE
Suite a
Lacey, WA 98503-7236
Phone (360) 413-8447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8298416 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
5203 Lacey Blvd SE
Ste A
Olympia, WA 98503
Phone (360) 413-8447
500 Lilly Rd NE
Ste 190
Olympia, WA 98506
Phone (360) 413-8447
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lacey, WA
- NPI 1669430948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386788537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5203 LACEY BLVD SE",
"address_2": "SUITE A",
"city": "LACEY",
"state": "WA",
"postal_code": "985037236",
"telephone_number": "360-413-8447",
"fax_number": "360-413-8493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5203 LACEY BLVD SE",
"address_2": "SUITE A",
"city": "LACEY",
"state": "WA",
"postal_code": "985037236",
"telephone_number": "360-413-8447",
"fax_number": "360-413-8493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST FAMILY CARE CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LAKIN",
"authorized_official_first_name": "HUONG",
"authorized_official_middle_name": "THI",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "360-413-8447",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "OP00001767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8298416",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.