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

Lakeshore Clinic PLLC

Organization Family Medicine Physician · NPI 1346345972

Lakeshore Clinic PLLC is a Family Medicine Physician in Kirkland, Washington. Registered with an NPI since 2006.

In the registry since
2006
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

12710 Totem Lake Blvd NE
Kirkland, WA 98034-2907
Phone: (425) 821-4040
Fax: (425) 820-5060
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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
Internal Medicine Physician Taxonomy 207R00000X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1346345972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Jeppesen — Ceo · (425) 485-3955
Other names Lakeshore Clinic Totem Lake
NPI enumeratedSeptember 14, 2006
Last updated in NPPESOctober 11, 2012
Mailing addressPo Box 646, Bothell, WA 98041-0646

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