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NPI Code Detail

MEDICARE: LYNETTE ROGERS MD

MEDICARE: LYNETTE ROGERS 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
1207Q00000XFamily Medicine Physician0101024432VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2541595397OTHERVATRICARE
3541595397OTHERVAPRIVATE HEALTHCARE SYSTEM
4541595397OTHERVACIGNA
5541595397OTHERVAMID ATLANTIC SOLUTIONS

General Provider Information

NPI Number : 1356317176
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNETTE ROGERS MD
Provider Business Mailing Address
First Line : PO BOX 7068
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23707-0068
Country : US
Telephone Number : 757-686-3542
Fax Number : 757-686-0230
Provider Business Practice Location Address
First Line : 7924 CHESAPEAKE BLVD
Second Line :
City : NORFOLK
State : VA
Zip : 23518-3801
Country : US
Telephone Number : 757-587-1700
Fax Number : 757-480-1295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 02/12/2010

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Directions to “ LYNETTE ROGERS MD” Practice Location

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