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Individual

MR. PERCY LEE LYNCHARD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
4001 HARRISON AVE NW STE 101, OLYMPIA, WA 98502-5084
(360) 704-2362
(360) 350-1445
Mailing address
1320 MERKEL ST NE, OLYMPIA, WA 98516-5424
(360) 918-6856

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60800360
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60800360
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2092375
WA
01
395774
L&I
WA
Enumeration date
11/16/2017
Last updated
03/26/2021
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