Individual
DR. LYNN M SHIMABUKURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2859 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452
(757) 340-4901
(757) 340-2502
Mailing address
2859 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452
(757) 340-4901
(757) 340-2502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101040224
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005836069
—
VA
Enumeration date
02/21/2006
Last updated
01/31/2013
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