Individual
LYNNE A WILK
Active
Individual
LYNNE A WILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00027476
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054926
LABOR & INDUSTRIES
WA
05
—
1059930
—
WA
01
—
WI6332
REGENCE BLUE SHIELD
WA
Enumeration date
04/20/2007
Last updated
11/08/2007
Update your record
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