Individual
GREGORY T LYNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DDS
Contact information
Practice address
8720 STONY POINT PKWY, SUITE 100, RICHMOND, VA 23235-1988
(804) 560-5260
(804) 560-4665
Mailing address
8720 STONY POINT PKWY, SUITE 100, RICHMOND, VA 23235-1988
(804) 560-5260
(804) 560-4665
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101102539
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006902120
—
VA
01
—
278720
ANTHEM BCBS
VA
Enumeration date
11/09/2005
Last updated
10/07/2015
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