Organization
WYNN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN WYNN FNP (PROVIDER)
(276) 231-9228
Entity
Organization
Contact information
Practice address
225 BOONE TRAIL RD, SUITE 200, DUFFIELD, VA 24244
(276) 231-9228
Mailing address
PO BOX 408, DUFFIELD, VA 24244-0408
(276) 231-9227
(949) 695-2477
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
05/30/2024
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