Individual
DR. LYNNE CAROL FAXIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2999 CORPORATE LANE STE B11, SUFFOLK, VA 23435-3572
(757) 934-6040
(757) 934-6042
Mailing address
2999 CORPORATE LANE STE B11, SUFFOLK, VA 23435
(757) 934-6040
(757) 934-6042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412767
VA
122300000X
Dentist
11240
GA
Other
Enumeration date
08/14/2008
Last updated
08/01/2019
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