Lynnwood Medical Center, Incorporated, P.S.
Clinic/Center, Primary Care in Lynnwood, WA. Organization (NPI-2).
NPI number1164555652
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1164555652
- Entity type
- Organization (NPI-2)
- Legal business name
- Lynnwood Medical Center, Incorporated, P.S.
- Organization subpart
- No
- Enumeration date
- Mar 13, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 602-252-535 | WA | Yes |
Other names
- Lynnwood Medical Center (Doing Business As)
Practice location
19720 68th Ave WSuite B
Lynnwood, WA 98036-4568
Phone 425-776-8414 · Fax 425-672-1084
Mailing address
19720 68th Ave WSuite B
Lynnwood, WA 98036-4568
Phone 425-776-8414 · Fax 425-672-1084
Authorized official
Arthur Coday
President
4257768414
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