Provider Demographics
NPI:1831486422
Name:SPOLEK, LYNN E (DVM)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:E
Last Name:SPOLEK
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 NE 112TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-5018
Mailing Address - Country:US
Mailing Address - Phone:360-892-0032
Mailing Address - Fax:360-892-5935
Practice Address - Street 1:416 NE 112TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-5018
Practice Address - Country:US
Practice Address - Phone:360-892-0032
Practice Address - Fax:360-892-5935
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVT00002823174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian