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Individual

D LYN DYAN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
1408 LAKE TAPPS PARKWAY EAST, SUITE E106, AUBURN, WA 98092
(253) 939-7179
(253) 939-7182
Mailing address
1408 LAKE TAPPS PARKWAY E, SUITE E106, AUBURN, WA 98092
(253) 939-7179
(253) 939-7182

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00010426
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0203403
L&I
WA
01
610775200
USDOL
Enumeration date
05/16/2007
Last updated
05/28/2008
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