1356519789 NPI number — LYNDA L. LEE ARNP

Table of content: LYNDA L. LEE ARNP (NPI 1356519789)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356519789 NPI number — LYNDA L. LEE ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEE
Provider First Name:
LYNDA
Provider Middle Name:
L.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356519789
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/02/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2600 SW HOLDEN ST
Provider Second Line Business Mailing Address:
NAVOS
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98126
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-933-7000
Provider Business Mailing Address Fax Number:
206-933-4064

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1210 SW 136TH ST
Provider Second Line Business Practice Location Address:
NAVOS - MENTAL HEALTH AND WELLNESS CENTER
Provider Business Practice Location Address City Name:
BURIEN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-257-6601
Provider Business Practice Location Address Fax Number:
206-257-6827
Provider Enumeration Date:
02/19/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  RN00084376 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0808X , with the licence number: AP60518692 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)