Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 87591 | OH |
N | 208600000X | Surgeon | 87591 | OH |
Y | 2086X0206X | Surgical Oncologist | 0101263892 | VA |
N | 2086X0206X | Surgical Oncologist | C54525 | CA |
NPI | 1306834775 |
---|---|
Provider Name | Dr. Mary Lydon Guye |
First Address | Newport News, VA 23606-2565 |
Second Address | Newport News, VA 23606-2565 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2005 |
Last Update Date | 07/02/2020 |