MEDICARE: DR. DIONNE GAY LYNCH MD

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
1	207Q00000X	Family Medicine Physician	MD31570	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316021587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIONNE GAY LYNCH MD

Provider Business Mailing Address
First Line	:	6323 GEORGIA AVE NW
Second Line	:	SUITE 207
City	:	WASHINGTON
State	:	DC
Zip	:	20011-1101
Country	:	US
Telephone Number	:	202-722-4708
Fax Number	:	202-722-7512

Provider Business Practice Location Address
First Line	:	6323 GEORGIA AVE NW
Second Line	:	SUITE 207
City	:	WASHINGTON
State	:	DC
Zip	:	20011-1101
Country	:	US
Telephone Number	:	202-722-4708
Fax Number	:	202-722-7512

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	05/19/2016

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