Dieter, M. Lyndon

Dieter, M. Lyndon is an individual health care provider with primary practice located at 801 E Wheeler Rd , Moses Lake WA 98837-1899. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Dieter, M. Lyndon can be contacted via phone (509) 765-5606.

Contact Information

Primary practice address
801 E Wheeler Rd Moses Lake WA 98837-1899
Phone: (509) 765-5606
Fax: (509) 764-3244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 125.054676 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036.124143 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1452 Arizona
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD60212924 Washington

Profile Details

NPI number 1508857103
LBN Legal business name Dieter, M. Lyndon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Feb 17th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508857103 NPPES
Washington MEDICAID 2015006
Washington Other 453051001
Washington Other 860373636
Washington Other AW1436
Washington Other 3981220
Washington MEDICAID 358566

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