Lakeshore Clinic Pllc

Lakeshore Clinic Pllc is a healthcare organization registered as Family Medicine Physician in Bothell, WA, holding Type 2 (organization) NPI 1922052422 since 2006. The authorized official on file is Linda Jeppesen, Ceo.

✓ Active NPI ✓ Valid NPI checksum

NPI	1922052422
Entity type	Organization (Type 2)
Legal business name	Lakeshore Clinic Pllc
Practice address	10131 MAIN ST, Bothell, WA, 98011
Phone	4254853955
Fax	4254851476
Enumeration date	2006-05-19
Last updated in NPPES	2014-02-18

Authorized official

Name	Linda Jeppesen
Title	Ceo
Phone	4254853955

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207R00000X	Internal Medicine Physician	Secondary	—	—
213E00000X	Podiatrist	Secondary	—	—
207Q00000X	Family Medicine Physician	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
G217116700	Other	WA	PTAN

Copy-ready billing details

Provider: Lakeshore Clinic Pllc
NPI: 1922052422
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 10131 MAIN ST, Bothell, WA, 98011

Providers at this address

NPI	Name	Type	Specialty	Location
1013450386	King County Public Hospital District No 2	Organization	Family Medicine Physician	Bothell, WA
1659814762	King County Public Hospital District No 2	Organization	Family Medicine Physician	Bothell, WA

Verify this record

Cross-check NPI 1922052422 against the authoritative CMS record: view Lakeshore Clinic Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Lakeshore Clinic Pllc located?

The practice location on file with NPPES is in Bothell, WA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-02-18. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-02-18.