Individual
LYNITTA DENISE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 TUSKEGEE BLVD, DOVER AFB, DE 19902-5300
(302) 677-2585
Mailing address
212 WHIRLAWAY LN, HAVRE DE GRACE, MD 21078-2352
(301) 523-1527
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1046209
DE
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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