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Individual

CARL A LINDGREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3023 PACIFIC AVE SE, OLYMPIA, WA 98501-2042
(360) 528-4220
(360) 528-4226
Mailing address
3023 PACIFIC AVE SE, OLYMPIA, WA 98501-2042
(360) 528-4220
(360) 528-4226

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD00027556
WA
208000000X
Pediatrics Physician
Primary
MD00027556
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8119364
WA
Enumeration date
12/29/2005
Last updated
01/13/2020
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