Individual
LYNN A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1708 YAKIMA AVE STE 203, TACOMA, WA 98405-5300
(253) 382-8150
(253) 985-6812
Mailing address
1708 YAKIMA AVE STE 203, TACOMA, WA 98405-5300
(253) 382-8150
(253) 985-6812
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
AP30002563
WA
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30002563
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP30002563
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191324
STATE L&I
WA
01
—
0191325
STATE L&I
WA
01
—
0207828
STATE L&I
WA
05
—
1042540
—
WA
01
—
8939401
STATE CRIME VICTIMS
WA
01
—
8939483
STATE CRIME VICTIMS
WA
05
—
9607680
—
WA
01
—
P00354459
MEDICARE RAILROAD
WA
Enumeration date
07/31/2006
Last updated
12/02/2020
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