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Organization
LIFE CHANGES HEALTH CARE CLINIC
Active
Organization
LIFE CHANGES HEALTH CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNDON C CAPON MD, ARNP, ND (CHIEF MEDICAL OFFICER)
(425) 750-0881
Entity
Organization
Contact information
Practice address
2820 HEWITT AVE, EVERETT, WA 98201-3820
(425) 252-6484
Mailing address
PO BOX 12608, MILL CREEK, WA 98082-0608
(425) 252-6484
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
NT00000478
WA
363L00000X
Nurse Practitioner
Primary
AP30006112
WA
Other
Enumeration date
12/13/2006
Last updated
07/19/2007
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