Provider Demographics
NPI:1952513244
Name:LYNAM, EMMA CLARE (LAC)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:CLARE
Last Name:LYNAM
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3507
Mailing Address - Country:US
Mailing Address - Phone:360-592-7525
Mailing Address - Fax:844-833-4903
Practice Address - Street 1:1405 FRASER ST STE F101
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-5886
Practice Address - Country:US
Practice Address - Phone:360-592-7525
Practice Address - Fax:844-833-4903
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist