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NPI Code Detail

MEDICARE: MRS. LYNN ELLEN VALENTINE D.N.SC.

MEDICARE: MRS. LYNN ELLEN VALENTINE D.N.SC.
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
1363L00000XNurse Practitioner0024088872VA

General Provider Information

NPI Number : 1952300352
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LYNN ELLEN VALENTINE D.N.SC.
Provider Business Mailing Address
First Line : 1139 E HIGH ST
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22902-4856
Country : US
Telephone Number : 434-817-8484
Fax Number : 434-817-8490
Provider Business Practice Location Address
First Line : 1139 E HIGH ST
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22902-4856
Country : US
Telephone Number : 434-817-8484
Fax Number : 434-817-8490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 05/06/2009

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Directions to “ MRS. LYNN ELLEN VALENTINE D.N.SC.” Practice Location

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