Healthcare Provider Details

I. General information

NPI: 1609180207
Provider Name (Legal Business Name): LYNDA TERRY-CHOYKE DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 02/25/2015
Certification Date:
Deactivation Date: 12/27/2013
Reactivation Date: 01/28/2015

III. Provider practice location address

1722 EYE STREETS NW DEPARTMENT OF VETERANS AFFAIRS - APPEALS MANAGEMENT CEN
WASHINGTON DC
20421
US

IV. Provider business mailing address

1722 EYE STREETS NW DEPARTMENT OF VETERANS AFFAIRS - APPEALS MANAGEMENT CEN
WASHINGTON DC
20421
US

V. Phone/Fax

Practice location:
  • Phone: 202-530-9400
  • Fax:
Mailing address:
  • Phone: 202-530-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPO404
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number404
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: