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Individual

LYNDA KIM LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3305 NASSAU ST, EVERETT, WA 98201-4140
(206) 895-1825
Mailing address
12634 TRIANGLE REEF CT, LAS VEGAS, NV 89141-6118
(215) 805-0477

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23012294
NY
363A00000X
Physician Assistant
PA0219
NV
363A00000X
Physician Assistant
PA1228
NV
363A00000X
Physician Assistant
PA2360
NV
363A00000X
Physician Assistant
Primary
PA61139478
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11973110
CAQH
Enumeration date
12/04/2007
Last updated
08/28/2025
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