Individual
LYNN PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3801 5TH ST SE, SUITE 110, PUYALLUP, WA 98374-2106
(253) 845-9585
(253) 848-1126
Mailing address
PO BOX 368, SUITE 901, OLYMPIA, WA 98507-0368
(360) 491-8439
(360) 491-6328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003564
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8379075
—
WA
Enumeration date
06/18/2006
Last updated
08/17/2016
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