Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | D0025775 | MD |
NPI | 1013983311 |
---|---|
Provider Name | Lynne A Gaynes-Kaplan |
First Address | Columbia, MD 21044-3276 |
Second Address | Ciolumbia, MD 21044-3276 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 10/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B93705 | (02) | MD |