MEDICARE: DR. LYNNE HUI WU 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
1	207K00000X	Allergy & Immunology Physician	0101239914	VA

General Provider Information

NPI Number	:	1386749844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNNE HUI WU M.D.

Provider Business Mailing Address
First Line	:	9609 BULLS RUN PKWY
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-2444
Country	:	US
Telephone Number	:	301-530-5958
Fax Number	:

Provider Business Practice Location Address
First Line	:	493 BLACKWELL RD STE 305
Second Line	:
City	:	WARRENTON
State	:	VA
Zip	:	20186-2628
Country	:	US
Telephone Number	:	540-428-1715
Fax Number	:

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	07/08/2007

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