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Individual
LYNN M. FEDORUK
Active
Individual
LYNN M. FEDORUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
0101240210
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101240210
VA
Other
Enumeration date
08/13/2006
Last updated
09/11/2025
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