Individual
DR. M. LYNDON DIETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 E WHEELER RD, MOSES LAKE, WA 98837-1899
(509) 765-5606
(509) 764-3244
Mailing address
660 S COOLIDGE ST, MOSES LAKE, WA 98837-1872
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.124143
IL
207L00000X
Anesthesiology Physician
125.054676
IL
207L00000X
Anesthesiology Physician
Primary
MD60212924
WA
207P00000X
Emergency Medicine Physician
1452
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015006
—
WA
05
—
358566
—
AZ
01
—
3981220
EVERCARE GROUP #
AZ
01
—
453051001
GROUP HEALTH GRP #
AZ
01
—
860373636
HUMANA GROUP #
AZ
01
—
AW1436
HEALTHNET GRP #
AZ
Enumeration date
11/02/2005
Last updated
02/17/2022
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