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Individual

LYNN LINVILLE-LAURITANO III

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2605 BLUE RIDGE RD, STE 200, RALEIGH, NC 27607-6475
(919) 781-8920
(919) 571-9543
Mailing address
2605 BLUE RIDGE RD, STE 200, RALEIGH, NC 27607-6475
(919) 781-8920
(919) 571-9543

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5030
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
899-5309
NC
Enumeration date
06/03/2006
Last updated
07/08/2007
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