Healthcare Provider Details

I. General information

NPI: 1255655387
Provider Name (Legal Business Name): LYNN ANN MAJORS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNN ANN LARSEN-LEVIER PA10003232

II. Dates (important events)

Enumeration Date: 03/18/2010
Last Update Date: 10/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 BORDEAUX ROAD CEDAR CREEK CORRECTIONS CENTER
LITTLEROCK WA
98556-0037
US

IV. Provider business mailing address

1018 CAPITOL WAY S STE 300
OLYMPIA WA
98501-1212
US

V. Phone/Fax

Practice location:
  • Phone: 360-359-4070
  • Fax: 360-664-3586
Mailing address:
  • Phone: 360-486-6508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA10003232
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: