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Locknane Athletic Medicine Llc
Primary Care Clinic/Center in Bothell, Washington
NPI 1164619557

Locknane Athletic Medicine Llc is a Primary Care Clinic/Center based in Bothell, WA and is specialized in Primary Care. Locknane Athletic Medicine Llc practices in Bothell, WA. The NPI Number for Locknane Athletic Medicine Llc is 1164619557 and holds a License No. MD00036179 (Washington).

The current practice location address for Locknane Athletic Medicine Llc is 18518 Bothell Way Ne Ste C, Bothell, WA and can be reached out via phone at 425-368-4242 and via fax at 425-368-4243.

Location: 18518 Bothell Way Ne Ste C, Bothell, WA, 98011-1927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164619557
Provider Name
Locknane Athletic Medicine Llc
Credential
Provider Entity Type
Organization
Address
18518 Bothell Way Ne Ste C, Bothell, WA, 98011-1927
Phone Number
425-368-4242
Fax Number
425-368-4243
Provider Enumeration Date
09/28/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
18518 Bothell Way Ne Ste C
City
Bothell
State
Washington
Zip
98011-1927
Phone Number
425-368-4242
Fax Number
425-368-4243
person
Provider Business Mailing Address Details
Address
18518 Bothell Way Ne Ste C
City
Bothell
State
Washington
Zip
98011-1927
Phone Number
425-368-4242
Fax Number
425-368-4243
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
MD00036179 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
MD00036179 (Washington)
Definition
Definition to come...
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