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

Lake Washington Vascular PLLC

Organization Vascular Surgery Physician · NPI 1942292875

Lake Washington Vascular PLLC provides Vascular Surgery Physician services in Bellevue, Washington. Registered with an NPI since 2005.

In the registry since
2005
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

1135 116th Ave NE Ste 305
Bellevue, WA 98004-4623 Not confirmed with CMS for 11 years — call before visiting
Phone: (425) 453-1772
Fax: (425) 453-0603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1942292875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Pepper — Managing Partner, Pllc · (425) 453-1772
NPI enumeratedAugust 17, 2005
Last updated in NPPESFebruary 25, 2015
Mailing addressPo Box 94732, Seattle, WA 98124-7032

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