Individual
DR. LYNNFORD S WILSON
Active
Individual
DR. LYNNFORD S WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101045190
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10011914
—
VA
01
—
39620003
CAREFIRST OF DC
DC
Enumeration date
11/14/2005
Last updated
12/02/2009
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