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Individual

LYNLEY S HOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
550 WHITE OAK ST, ASHEBORO, NC 27203-4710
(336) 625-1360
(336) 625-1889
Mailing address
2097 LANGHORNE RD, LYNCHBURG, VA 24501-1443
(434) 947-5210
(434) 947-5213

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116020530
VA
207Q00000X
Family Medicine Physician
Primary
2011-00384
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2011-00384
NC STATE LICENSE
NC
Enumeration date
06/19/2008
Last updated
06/10/2011
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