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LAKEVIEW FAMILY MEDICINE, PLLC

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Company Details

Legal Name: LAKEVIEW FAMILY MEDICINE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 21st 2000
Expiration date: 31 Dec 2025
UBI Number: 602 085 723
ZIP code: 98188
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 18000 INTERNATIONAL BLVD STE 350, SEATAC, WA, 98188-4260, UNITED STATES

Contact Details

E-Mail: CONTACT@REHBERGLAW.COM
Phone Number: +1 206-246-8772

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
REHBERG LAW GROUP, PLLC Registered Agent

Key Officers & Management

Name Role
MINDY BLASKI MD Governing Person

National Provider Identifier

NPI Number:
1720173040

Authorized Person:

Name:
DR. MINDY L BLASKI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
173000000X - Legal Medicine
Is Primary:
Yes

Contacts:

Fax:
2065260221
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