Duncan, Lyn Mcdivitt

Duncan, Lyn Mcdivitt is an individual health care provider with primary practice located at 55 Fruit St Wrn 825, Boston MA 02114. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Duncan, Lyn Mcdivitt can be contacted via phone (617) 726-5209.

Contact Information

Primary practice address
55 Fruit St Wrn 825 Boston MA 02114
Fax: (617) 643-1624
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 73791 Massachusetts
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 73791 Massachusetts

Profile Details

NPI number 1073563698
LBN Legal business name Duncan, Lyn Mcdivitt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 14th, 2011 - about 14 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 1073563698 NPPES
Massachusetts Other J11623 BCBS MA
Massachusetts MEDICAID 3083837 BCBS MA
Massachusetts Other 084165 BCBS MA

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