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Individual

DR. LYNN DIDONATO CANAVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4708 ALLIANCE BLVD STE 750, PLANO, TX 75093-5354
(972) 562-5999
(972) 562-9755
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
J2864
TX
2086X0206X
Surgical Oncology Physician
Primary
J2864
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127583606
TX
01
8W4998
BCBSTX
TX
01
P00620587
MEDICARE RAILROAD
TX
Enumeration date
03/21/2006
Last updated
10/11/2022
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