Individual
MS. C. LYNNE DOBROVOLNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7600 CARROLL AVE, TAKOMA PARK, MD 20912-6367
(301) 891-7600
Mailing address
20010 CENTURY BLVD, SUITE 200, GERMANTOWN, MD 20874-1115
(240) 686-2300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3062
AZ
363A00000X
Physician Assistant
C0003158
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113339
—
AZ
Enumeration date
02/02/2007
Last updated
09/12/2008
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