Individual
LACY LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1201 TERRY AVE, SEATTLE, WA 98101-2735
(206) 223-6487
Mailing address
1201 TERRY AVE, SEATTLE, WA 98101-2735
(206) 223-6487
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
028187
NY
225100000X
Physical Therapist
Primary
PT60313589
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0303095
LABOR & INDUSTRY
WA
05
—
1841360252
—
WA
Enumeration date
11/09/2006
Last updated
05/21/2013
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