Lake Forest Family Health, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K6565 Issued in TX

Legal business name

LAKE FOREST FAMILY HEALTH, PLLC

Practice address

4987 W University Dr
Suite 150
McKinney, TX 75071-5072

Phone

(972) 542-8464

Fax

(972) 542-8468

NPI assigned

Sep 30, 2009

Organization subpart

No

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

Authorized official

Name

Washington Ken

Title

President

Phone

(615) 372-5170

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1770817322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4987 W UNIVERSITY DR",
            "address_2": "SUITE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715072",
            "telephone_number": "972-542-8464",
            "fax_number": "972-542-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4987 W UNIVERSITY DR",
            "address_2": "SUITE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715072",
            "telephone_number": "972-542-8464",
            "fax_number": "972-542-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOREST FAMILY HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "KEN",
        "authorized_official_first_name": "WASHINGTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-372-5170"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6565",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "K6565",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00942831",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284230401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lafountain Transitions MHT LLC
• Lagniappe MHT LLC
• Lake Forest Dental, PA
• Lake Forest Endodontics
• Lake Forest Family Dental PC
• Lake Forest Family Health, PLLC
• Mansi Raj Lakkad
• Linda Lam, RPH
• David Michael Lambert, M.D.
• Kelli Ann Lambert

• Family Medicine Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.