# DR. LYNNE CAROL FAXIO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588810139
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401412767 | VA | Yes |
| 122300000X | Dentist | 11240 | GA | — |

## Other

- **Enumeration date:** 08/14/2008
- **Last updated:** 08/01/2019