Provider Demographics
NPI:1063573434
Name:BOYER, LYNN MARIE (LMP)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:MARIE
Last Name:BOYER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 SW 150TH ST
Mailing Address - Street 2:#208
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166
Mailing Address - Country:US
Mailing Address - Phone:206-242-9331
Mailing Address - Fax:206-242-9351
Practice Address - Street 1:801 SW 150TH ST
Practice Address - Street 2:#208
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166
Practice Address - Country:US
Practice Address - Phone:206-242-9331
Practice Address - Fax:206-242-9351
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA10987225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist