The Clinic at Panorama City, Ps
The Clinic at Panorama City, Ps is a Geriatric Medicine (Family Medicine) Physician in Lacey, Washington. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
4044 15th Ln SE Ste ALacey, WA 98503
Phone: (360) 491-4460
Fax: (360) 491-3090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|---|
| Geriatric Medicine (Family Medicine) Physician | Taxonomy 207QG0300X |
| Geriatric Medicine (Internal Medicine) Physician | Taxonomy 207RG0300X |
Record details
| NPI number | 1598982324 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Fairbrook — Owner · (360) 491-4460 |
| NPI enumerated | April 20, 2007 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 4044 15th Ln Se, Suite A, Lacey, WA 98503 |
Other providers in Lacey
-
Dr. Robert Dewey Vandenberg, MD
4044 15th Ave SE Ste A, Lacey, WA 98503-6962 · (360) 491-4460