Provider Demographics
NPI:1871561712
Name:BRIGGS, LYNN E (PA-C)
Entity type:Individual
Prefix:MR
First Name:LYNN
Middle Name:E
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 SUMMITVIEW AVE # 621
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3032
Mailing Address - Country:US
Mailing Address - Phone:509-573-3448
Mailing Address - Fax:509-574-4481
Practice Address - Street 1:206 S 11TH AVE
Practice Address - Street 2:SUITE 48
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3205
Practice Address - Country:US
Practice Address - Phone:509-575-5058
Practice Address - Fax:509-575-5196
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10003188363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0226215OtherLABOR AND INDUSTRIES
WA0226216OtherLABOR AND INDUSTRIES