Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Tapps Family Medicine, PLLC

Organization Family Medicine Physician · NPI 1245406032

Lake Tapps Family Medicine, PLLC is a Family Medicine Physician in Lake Tapps, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3920 W Tapps Dr E
Lake Tapps, WA 98391-9176
Phone: (253) 862-8001
Fax: (253) 826-4792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00036049 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD00009217 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA10005138 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA10005081 (WA)

Record details

NPI number1245406032
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lila Day — Md · (253) 862-8001
Other names Lake Tapps Family Medicine
NPI enumeratedMay 1, 2008
Last updated in NPPESMarch 18, 2016
Mailing address3920 W Tapps Dr E, Lake Tapps, WA 98391-9176

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