Individual
DR. LYNDA S DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
880 MEMORIAL DR, OAKLAND, MD 21550-5114
(301) 334-4340
(877) 504-1066
Mailing address
880 MEMORIAL DR, OAKLAND, MD 21550-5114
(301) 334-4340
(877) 504-1066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101221383
VA
208600000X
Surgery Physician
D0068477
MD
208C00000X
Colon & Rectal Surgery Physician
Primary
D0068477
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5831831
—
VA
Enumeration date
11/02/2005
Last updated
05/30/2019
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