Individual
LYNN KATHLEEN BICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6412 CHURCH HILL RD, CHESTERTOWN, MD 21620-2386
(410) 810-7090
(410) 810-7091
Mailing address
PO BOX 2350, EASTON, MD 21601-8945
(410) 822-9890
(410) 763-9536
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0047069
MD
207NS0135X
Procedural Dermatology Physician
D0047069
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
475648
MAMSI PLANS
MD
01
—
K859TA
BLUE SHIELD
MD
01
—
P000031306
MC RAILROAD
MD
01
—
W0170002
BLUE SHIELD
MD
Enumeration date
10/13/2005
Last updated
10/26/2015
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