Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101254889 | VA |
N | 208600000X | Surgeon | 0101254889 | VA |
Y | 2086X0206X | Surgical Oncologist | 0101254889 | VA |
NPI | 1134334592 |
---|---|
Provider Name | Lynn T Dengel |
First Address | Charlottesville, VA 22911-4669 |
Second Address | Charlottesville, VA 22911-4669 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 13/10/2020 |