Healthcare Provider Details

I. General information

NPI: 1164418000
Provider Name (Legal Business Name): LYNN MURPHY OBRIEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNN MURPHY

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 11/27/2023
Certification Date: 10/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 JOSEPH SIEWICK DR SUITE 400
FAIRFAX VA
22033-1710
US

IV. Provider business mailing address

950N GLEBE RD 4000
ARLINGTON VA
22203-1824
US

V. Phone/Fax

Practice location:
  • Phone: 703-391-2020
  • Fax: 703-391-1211
Mailing address:
  • Phone: 571-295-7514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101037102
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: