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

Pioneer Family Practice, PLLC

Organization Family Medicine Physician · NPI 1205965365

Pioneer Family Practice, PLLC is a Family Medicine Physician in Lacey, Washington. Registered with an NPI since 2007.

In the registry since
2007
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

5130 Corporate Center Ct SE
Lacey, WA 98503-5957
Phone: (360) 413-8600
Fax: (360) 413-8822
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1205965365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Taylor — Business Manager · (360) 413-8617
NPI enumeratedMarch 5, 2007
Last updated in NPPESMarch 7, 2023
Mailing address5130 Corporate Center Ct Se, Lacey, WA 98503-5957

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