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

Lakewood Surgical Urology Ps

Organization Urology Physician · NPI 1215023940

Lakewood Surgical Urology Ps is an Urology Physician in Lakewood, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

11306 Bridgeport Way SW Ste D
Lakewood, WA 98499-3005
Phone: (253) 581-7000
Fax: (253) 984-6774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD00044997 (WA)

Record details

NPI number1215023940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Bak — Owner/Provider · (253) 581-7000
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 97115, Lakewood, WA 98497-0115

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