Individual
DR. LYN NGUYEN DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
129 LUBRANO DR, SUITE 100, ANNAPOLIS, MD 21401-7566
(410) 266-5852
(410) 266-5095
Mailing address
7580 BUCKINGHAM BLVD STE 220, HANOVER, MD 21076-3210
(410) 729-5100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0058097
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073009
CIGNA PIN NUMBER
MD
01
—
014378
JHHC PROVIDER NUMBER
MD
01
—
2110689
MAMSI SPECIALIST
MD
01
—
2981630
AETNA CAPITATED
MD
05
—
404150000
—
MD
01
—
615698-01
CAREFIRST RENDERING
MD
01
—
7605-0050
CAREFIRST BLUECHOICE
MD
01
—
7744382
AETNA FEE FOR SERVICE
MD
01
—
80184145
RAILROAD MEDICARE
MD
01
—
8110689
MAMSI PRIMARY CARE
MD
01
—
P15500
CAREFIRST MPOS
MD
Enumeration date
08/09/2005
Last updated
02/28/2024
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