Individual
LYNN J. MCKINLEY-GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2041 GEORGIA AVE NW TOWERS BUILDING SUITE 4300, WASHINGTON, DC 20060
(202) 865-7504
Mailing address
2041 GEORGIA AVE NW TOWER 6101, WASHINGTON, DC 20060-0001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
D0034478
MD
207N00000X
Dermatology Physician
Primary
MD16666
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010078474
—
VA
05
—
022642100
—
DC
05
—
777121500
—
MD
Enumeration date
05/23/2006
Last updated
12/06/2019
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