Lakes Family Medicine-Bonnie Lake – Family Medicine Physician, NPI 1841483450

Lakes Family Medicine-Bonnie Lake is a healthcare provider. based in Bonney lake, Washington. specializing in Family Medicine Physician. The NPI Number for Lakes Family Medicine-Bonnie Lake is 1841483450

Main info

Organization
Name
Lakes Family Medicine-Bonnie Lake
NPI
1841483450
Phone
(253) 863-2587
Address
8412 MYERS RD E
Authorized Official
CLIFF A. ROBERTSON PRESIDENT/ CHIEF MEDICAL OFFICER MD
Enumeration Date
27 August 2007
Last Update Date
20 February 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Lakes Family Medicine-Bonnie Lake

  • 8412, Myers Road East, Bonney Lake, Pierce County, Washington, 98391, United States

    STE 203

    BONNEY LAKE, WA 983915112

    Phone: (253) 863-2587

    Fax: (253) 863-2588

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98391)

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Reviews

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Frequently asked questions

What identifier follows Lakes Family Medicine-Bonnie Lake across health systems?
The NPI 1841483450 uniquely identifies Lakes Family Medicine-Bonnie Lake in U.S. healthcare data.
Is Lakes Family Medicine-Bonnie Lake's NPI status active today?
Active status means Lakes Family Medicine-Bonnie Lake's NPI record is not deactivated in the public file.
Which specialty label fits Lakes Family Medicine-Bonnie Lake?
NPPES ties Lakes Family Medicine-Bonnie Lake to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Lakes Family Medicine-Bonnie Lake?
Lakes Family Medicine-Bonnie Lake shows a connection to Bonney Lake, Washington in registry-derived data.
Why is information missing for Lakes Family Medicine-Bonnie Lake?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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