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NPI Code Detail

MEDICARE: DR. LYNNE CHRISTINE FISCUS MD, MPH

MEDICARE: DR. LYNNE CHRISTINE FISCUS MD, MPH
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
1207R00000XInternal Medicine Physician103769MN
2208000000XPediatrics Physician2006-01957NC
3207R00000XInternal Medicine Physician2006-01957NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NCY934AOTHERNCMEDICARE

General Provider Information

NPI Number : 1831238690
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYNNE CHRISTINE FISCUS MD, MPH
Provider Business Mailing Address
First Line : 5221 PARAMOUNT PKWY STE 220
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-5490
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 118 KNOX WAY
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-6610
Country : US
Telephone Number : 984-215-5900
Fax Number : 984-215-5942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 01/10/2024

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