Provider Demographics
NPI:1336556422
Name:GRIFFIN, LYNN A (CNM)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:A
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:ANN
Other - Last Name:VEITSCHEGGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6002 WESTGATE BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-2572
Mailing Address - Country:US
Mailing Address - Phone:253-761-2244
Mailing Address - Fax:253-761-1040
Practice Address - Street 1:6002 WESTGATE BLVD STE 230
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2572
Practice Address - Country:US
Practice Address - Phone:253-761-2244
Practice Address - Fax:253-761-1040
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60419029367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA353535OtherWA LABOR & INDUSTRIES
WA2048505Medicaid