Individual
LYNN MARIE LANGSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP CNM
Contact information
Practice address
6002 N WESTGATE BLVD, STE 230, TACOMA, WA 98406
(253) 761-2244
(253) 761-1040
Mailing address
6002 N WESTGATE BLVD, STE 230, TACOMA, WA 98406
(253) 761-2244
(253) 761-1040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00074183
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
025804 AP30001892
WA
367A00000X
Advanced Practice Midwife
Primary
025804 AP30001892
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0270558
L&I
WA
05
—
9613431
—
WA
01
—
G8896179
MEDICARE
WA
01
—
LA7596
REGENCE
WA
Enumeration date
12/30/2005
Last updated
04/07/2011
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