Provider Demographics
NPI:1265679013
Name:CITY OF LYNNWOOD
Entity type:Organization
Organization Name:CITY OF LYNNWOOD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF POLICE
Authorized Official - Prefix:MR
Authorized Official - First Name:COLEMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-670-5601
Mailing Address - Street 1:19321 44TH AVE W
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5664
Mailing Address - Country:US
Mailing Address - Phone:425-670-5648
Mailing Address - Fax:425-771-0122
Practice Address - Street 1:19321 44TH AVE W
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5664
Practice Address - Country:US
Practice Address - Phone:425-670-5648
Practice Address - Fax:425-771-0122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP00773028OtherRAILROAD MC
WA2000883Medicaid
WA0247411OtherL&I/CRIME VICTIMS
WAG8879344Medicare PIN