Dougherty, Lynda S

Dougherty, Lynda S is an sole proprietor health care provider with primary practice located at 880 Memorial Dr , Oakland MD 21550-5114. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Dougherty, Lynda S can be contacted via phone (301) 334-4340.

Contact Information

Primary practice address
880 Memorial Dr Oakland MD 21550-5114
Phone: (301) 334-4340
Fax: (877) 504-1066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X D0068477 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X D0068477 Maryland
Other Service Providers / Specialist 174400000X 0101221383 Virginia

Profile Details

NPI number 1376534149
LBN Legal business name Dougherty, Lynda S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated May 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376534149 NPPES
Virginia MEDICAID 5831831

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