Individual
DR. GRANT C LYNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
116 HURON ST, DECATUR, GA 30030-5510
(253) 307-9162
Mailing address
116 HURON ST, DECATUR, GA 30030-5510
(253) 307-9162
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
063497
GA
207L00000X
Anesthesiology Physician
41121
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8430191
—
WA
Enumeration date
03/03/2006
Last updated
11/21/2024
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