Provider Demographics
NPI:1972555175
Name:CHARITY, LYNETTE D (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNETTE
Middle Name:D
Last Name:CHARITY
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:300 COLUMBIA POINT DR
Mailing Address - Street 2:UNIT A112
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4371
Mailing Address - Country:US
Mailing Address - Phone:509-713-7685
Mailing Address - Fax:509-713-7686
Practice Address - Street 1:300 COLUMBIA POINT DR
Practice Address - Street 2:UNIT A112
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4371
Practice Address - Country:US
Practice Address - Phone:509-713-7685
Practice Address - Fax:509-713-7686
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2014-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00021059207L00000X
AZ36475207L00000X
VA0101031521207L00000X
ND10683207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1115971Medicaid
WAA54837Medicare UPIN
WA1115971Medicaid