Individual
DR. LYNDA L FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1640 NEWPORT BLVD STE 200, COSTA MESA, CA 92627-3786
(877) 378-0401
(949) 706-6356
Mailing address
1640 NEWPORT BLVD STE 200, COSTA MESA, CA 92627-3786
(877) 277-8271
(949) 706-6356
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G79577
CA
2085R0202X
Diagnostic Radiology Physician
ME119366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013321800
—
FL
01
—
PENDING
MEDICARE
FL
Enumeration date
06/08/2006
Last updated
03/04/2019
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