Individual
MRS. LYN VERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
26035 RIDGE RD, DAMASCUS, MD 20872-1848
(301) 253-0734
(301) 253-0736
Mailing address
26035 RIDGE RD, DAMASCUS, MD 20872-1848
(301) 253-0734
(301) 253-0736
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NJ-31TD00202600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23106
NVA PROVIDER NUMBER
MD
01
—
NJ2026
EYEMED PROVIDER NUMBER
MD
Enumeration date
02/01/2007
Last updated
07/08/2007
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