Individual
MR. ANDREW LINGBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 9TH AVE, MS:C8-GIM, SEATTLE, WA 98101
(206) 583-2299
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
017728
NY
363AM0700X
Medical Physician Assistant
Primary
PA60654839
WA
Other
Enumeration date
07/15/2014
Last updated
11/18/2019
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