Provider Demographics
NPI:1649597188
Name:LYNN, CAROL (CD(DONA) CD(PALS))
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:
Last Name:LYNN
Suffix:
Gender:F
Credentials:CD(DONA) CD(PALS)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11723 NE 100TH PL
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-5172
Mailing Address - Country:US
Mailing Address - Phone:425-822-0633
Mailing Address - Fax:
Practice Address - Street 1:11723 NE 100TH PL
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-5172
Practice Address - Country:US
Practice Address - Phone:425-822-0633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula