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

Lighthouse Pediatric Medicine PLLC

Organization Pediatrics Physician · NPI 1336967611

Lighthouse Pediatric Medicine PLLC is a Pediatrics Physician in Issaquah, Washington. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1505 NW Gilman Blvd Ste 8
Issaquah, WA 98027-5398
Phone: (425) 243-3599
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1336967611
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sung Park — Managing Member, Physician, Owner · (425) 243-3599
Other names Lighthouse Pediatrics
NPI enumeratedSeptember 26, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address1505 Nw Gilman Blvd Ste 8, Issaquah, WA 98027-5398

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