Individual
DR. LYN MCDIVITT DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, WRN 825, BOSTON, MA 02114
(617) 726-5209
(617) 643-1624
Mailing address
55 FRUIT ST, WRN 825, BOSTON, MA 02114
(617) 726-5209
(617) 643-1624
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
73791
MA
207ZP0101X
Anatomic Pathology Physician
Primary
73791
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084165
TUFTS HEALTH PLAN
MA
05
—
3083837
—
MA
01
—
J11623
BCBS MA
MA
Enumeration date
05/12/2006
Last updated
04/14/2011
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