Individual
DR. LYNNFORD S WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21475 RIDGETOP CIR, SUITE 150, STERLING, VA 20166-6580
(703) 444-5000
(703) 444-4999
Mailing address
21475 RIDGETOP CIR, STE 150, STERLING, VA 20166-6580
(703) 444-5000
(703) 444-4999
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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