Clark, Lynn A
Clark, Lynn A is an individual health care provider with primary practice located at 1708 Yakima Ave Ste 203 , Tacoma WA 98405-5300. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Clark, Lynn A can be contacted via phone (253) 382-8150.Contact Information
Primary practice address
1708 Yakima Ave Ste 203
Tacoma WA 98405-5300
Phone: (253) 382-8150
Fax: (253) 985-6812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Women's Health Care, Ambulatory | 163WW0101X | AP30002563 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | AP30002563 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | AP30002563 | Washington |
Profile Details
| NPI number | 1023024940 |
|---|---|
| LBN Legal business name | Clark, Lynn A |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Dec 2nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023024940 | NPPES |
| Washington | Other | 8939483 | STATE CRIME VICTIMS |
| Washington | MEDICAID | 9607680 | STATE CRIME VICTIMS |
| Washington | Other | P00354459 | STATE CRIME VICTIMS |
| Washington | Other | 8939401 | STATE CRIME VICTIMS |
| Washington | Other | 0191324 | STATE CRIME VICTIMS |
| Washington | Other | 0207828 | STATE CRIME VICTIMS |
| Washington | MEDICAID | 1042540 | STATE CRIME VICTIMS |
| Washington | Other | 0191325 | STATE CRIME VICTIMS |
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