IndividualActive
Robert Vandenberg, M.D.
NPI 1033181003 · Geriatric Medicine (Family Medicine) Physician · Lacey, WA
Provider details
- NPI number
- 1033181003
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD00028460 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4044 15th Ave Se
Suite a
Lacey, WA 98503-6962
Phone: (360) 491-4460
Fax: (360) 491-3090
Approximate (ZIP-level) locationGet directions
Mailing address
1450 Northwest Lane Se
Lacey, WA 98503-6962
Registry dates
- Enumerated
- 2006-02-03
- Last updated
- 2014-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.