Individual
DR. LUCAS KIDD GWYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6408 SEVEN CORNERS PL, SUITE J, FALLS CHURCH, VA 22044-2034
(703) 531-1030
(703) 531-1031
Mailing address
6408 SEVEN CORNERS PL, SUITE J, FALLS CHURCH, VA 22044-2011
(703) 531-1030
(703) 531-1031
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101223967
VA
207Q00000X
Family Medicine Physician
Primary
0101223967
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146092
ANTHEM BCBS
VA
01
—
279883
AMERIGROUP
VA
Enumeration date
07/17/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us