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NPI Code Detail

MEDICARE: DANIELLE L LYNCH AUD

MEDICARE: DANIELLE L LYNCH AUD
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
1231H00000XAudiologist2201001796VA

General Provider Information

NPI Number : 1437525870
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE L LYNCH AUD
Provider Business Mailing Address
First Line : 14000 CROWN CT STE 201
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22193-1463
Country : US
Telephone Number : 703-499-8787
Fax Number : 703-499-8222
Provider Business Practice Location Address
First Line : 14000 CROWN CT STE 201
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22193-1463
Country : US
Telephone Number : 703-499-8787
Fax Number : 703-499-8222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2015
Last Update Date : 10/01/2020

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Directions to “ DANIELLE L LYNCH AUD” Practice Location

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