Individual
LYNN H SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
493 BLACKWELL RD, SUITE 101A, WARRENTON, VA 20186-2628
(540) 316-5604
(540) 316-5601
Mailing address
1560 CHAPMAN RD, STANARDSVILLE, VA 22973-3620
(540) 316-5604
(540) 316-5601
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
0101044708
VA
207ZB0001X
Blood Banking & Transfusion Medicine Physician
0101044708
VA
207ZC0500X
Cytopathology Physician
0101044708
VA
207ZH0000X
Hematology (Pathology) Physician
0101044708
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101044708
VA
207ZP0104X
Chemical Pathology Physician
0101044708
VA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
0101044708
VA
207ZP0213X
Pediatric Pathology Physician
0101044708
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6600590
—
VA
01
—
P00757523
RR MEDICARE
VA
Enumeration date
10/17/2005
Last updated
05/27/2014
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