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

Lake Tye Emergency Physicians PLLC

Organization Emergency Medicine Physician · NPI 1467880518

Lake Tye Emergency Physicians PLLC is an Emergency Medicine Physician in Monroe, Washington. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
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

14701 179th Ave SE
Monroe, WA 98272-1108
Phone: (360) 794-7497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1467880518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Mitchell — President · (469) 401-2386
NPI enumeratedOctober 29, 2013
Last updated in NPPESOctober 29, 2013
Mailing address13737 Noel Rd, Ste 1600, Dallas, TX 75240-1331

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