Provider Demographics
NPI:1275025678
Name:LYNN, MORGAN LEE (RN, ELECTROLOGIST)
Entity type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:LEE
Last Name:LYNN
Suffix:
Gender:F
Credentials:RN, ELECTROLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13023 NE HIGHWAY 99 STE 7
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-2699
Mailing Address - Country:US
Mailing Address - Phone:360-901-3542
Mailing Address - Fax:
Practice Address - Street 1:8311 NE HIGHWAY 99
Practice Address - Street 2:SUITE E STUDIO 108
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665
Practice Address - Country:US
Practice Address - Phone:360-901-3542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2025-06-12
Deactivation Date:2019-11-11
Deactivation Code:
Reactivation Date:2025-05-23
Provider Licenses
StateLicense IDTaxonomies
CA95078786163W00000X
ORBAP-E-10256776246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No163W00000XNursing Service ProvidersRegistered Nurse