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Organization
LOWER COLUMBIA PATHOLOGISTS PS
Active
Organization
LOWER COLUMBIA PATHOLOGISTS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA D LYNAM M.D. (PRESIDENT)
(360) 501-8306
Entity
Organization
Contact information
Practice address
720 14TH AVE, LONGVIEW, WA 98632
(360) 425-5620
(360) 425-7219
Mailing address
PO BOX 3012, LONGVIEW, WA 98632
(360) 425-5620
(360) 425-7219
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
NULL
207U00000X
Nuclear Medicine Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
11/15/2016
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