Individual
DR. LYNNE WISER STOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3235 BRIDGE RD, STE 15, SUFFOLK, VA 23435-1778
(757) 606-1656
(757) 606-1657
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10203737
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962451773
—
VA
Enumeration date
05/09/2006
Last updated
05/26/2011
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