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Organization

LYNN H SAMUEL MD LLC

Active
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Organization

LYNN H SAMUEL MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN H SAMUEL MD (OWNER)
(540) 316-5604
Entity
Organization

Contact information

Practice address
493 BLACKWELL ROAD, SUITE 101A, WARRENTON, VA 20186-2628
(540) 316-5604
(540) 316-5601
Mailing address
493 BLACKWELL ROAD, SUITE 101A, WARRENTON, VA 20186-2628
(540) 316-5604
(540) 316-5601

Taxonomy

Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
0101044708
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101044708
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DP4396
RR MEDICARE
VA
Enumeration date
05/28/2009
Last updated
01/04/2010
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