Individual
MS. LYNDA JO STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004574
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178162
L&I PROVIDER NUMBER
WA
01
—
180728
L&I PROVIDER NUMBER
WA
05
—
8377517
—
WA
Enumeration date
01/06/2006
Last updated
10/23/2018
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