Individual
DR. LYNETTE M SUNDHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10101 19TH AVE SE STE B, EVERETT, WA 98208-4255
(425) 338-5400
(425) 338-5402
Mailing address
10101 19TH AVE SE STE B, EVERETT, WA 98208-4255
(425) 338-5400
(425) 338-5402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001681
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639111073
GROUP NPI
WA
05
—
2029718
—
WA
Enumeration date
12/27/2006
Last updated
11/10/2010
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