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DR. LYNN C HEALEY OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1588741995

Individual Registrant:
DR. LYNN C HEALEY OD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
12255 FAIR LAKES PARKWAY KAISER PERMANENTE FAIRFAX, VA 22033 US
Tel: 703-934-5820  Fax: --

Contact information for business:
2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNIT 6 W ATTN THERESA BROOKS ROCKVILLE, MD 20852-4908 US
Tel: 301-816-6660  Fax: 301-816-6308

Registration Information:
NPI: 1588741995
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N152W00000XEye and Vision Services Providers
Optometrist
PAOET8944
Y152W00000XEye and Vision Services Providers
Optometrist
VA0618000292

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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