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Individual

DR. GRANT EDWARD LINDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
12310 NE 8TH ST, SUITE 101, BELLEVUE, WA 98005-3185
(425) 455-0001
(425) 462-7387
Mailing address
12310 NE 8TH ST, SUITE 101, BELLEVUE, WA 98005-3185
(425) 455-0001
(425) 462-7387

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3401
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2021590
WA
Enumeration date
07/04/2006
Last updated
09/05/2008
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