Individual
LYNETTE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7924 CHESAPEAKE BLVD, NORFOLK, VA 23518-3801
(757) 587-1700
(757) 480-1295
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3542
(757) 686-0230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101024432
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005650437
—
VA
01
—
541595397
TRICARE
VA
Enumeration date
02/23/2006
Last updated
02/12/2010
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