Individual
LYNNE FAKEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(504) 268-0722
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101288535
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
03/22/2016
Last updated
04/02/2026
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