Healthcare Provider Details

I. General information

NPI: 1992490445
Provider Name (Legal Business Name): ASHANE DANIELLE LYNCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 DENBIGH BLVD
NEWPORT NEWS VA
23608-4415
US

IV. Provider business mailing address

10510 JEFFERSON AVE STE A
NEWPORT NEWS VA
23601-3102
US

V. Phone/Fax

Practice location:
  • Phone: 757-283-8300
  • Fax:
Mailing address:
  • Phone: 757-594-3800
  • Fax: 757-591-9021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101284733
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: