Provider Demographics
NPI:1821083056
Name:CAPON, LYNDON CLARENCE (ARNP, ND, RN)
Entity Type:Individual
Prefix:DR
First Name:LYNDON
Middle Name:CLARENCE
Last Name:CAPON
Suffix:
Gender:M
Credentials:ARNP, ND, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:11722 TULARE WAY W.
Mailing Address - Street 2:MARYSVILLE
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98271
Mailing Address - Country:US
Mailing Address - Phone:425-280-2848
Mailing Address - Fax:434-322-4336
Practice Address - Street 1:415 N OLYMPIC AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1244
Practice Address - Country:US
Practice Address - Phone:425-280-2802
Practice Address - Fax:434-322-4336
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00112784163W00000X
WANT00000478175F00000X, 175F00000X
WAAP30006112363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0347193OtherLABOR & INDUSTRIES
WA0192446OtherSTATE DEPT OF L & I