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NPI Code Detail

MEDICARE: DR. LYNN L. MCROY M.D.

MEDICARE: DR. LYNN L. MCROY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist0101048149VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10101048149OTHERVAMEDICAL LICENSE
2218200OTHERVAANTHEM BC/BS
38049961002OTHERVACIGNA

General Provider Information

NPI Number : 1033103288
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYNN L. MCROY M.D.
Provider Business Mailing Address
First Line : PO BOX 11766
Second Line :
City : LYNCHBURG
State : VA
Zip : 24506-1766
Country : US
Telephone Number : 434-947-3901
Fax Number : 434-947-3907
Provider Business Practice Location Address
First Line : 1911 THOMSON DR
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-1008
Country : US
Telephone Number : 434-947-3901
Fax Number : 434-947-3907
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 07/08/2007

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