# LIFE CHANGES HEALTH CARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477614311
- **Authorized official:** DR. LYNDON C CAPON MD, ARNP, ND (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (425) 750-0881

## Contact information

- **Practice address:** 2820 HEWITT AVE, EVERETT, WA 98201-3820
- **Practice address phone:** (425) 252-6484
- **Mailing address:** PO BOX 12608, MILL CREEK, WA 98082-0608
- **Mailing address phone:** (425) 252-6484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175F00000X | Naturopath | NT00000478 | WA | — |
| 363L00000X | Nurse Practitioner | AP30006112 | WA | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 07/19/2007