Lucas Kidd Gwynn in Falls Church - Dermatology

Lucas Kidd Gwynn - NPI 1588681274

Lucas Kidd Gwynn is a Dermatology in Falls Church, Virginia. Lucas Kidd Gwynn practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Lucas Kidd Gwynn is 1588681274. The last update date is 2007-07-08.

Lucas Kidd Gwynn's current location address is 6408 Seven Corners Pl, Falls Church, Virginia. You can contact this provider via phone number 7035311030 and fax number 7035311031. The mailing address for Lucas Kidd Gwynn is 6408 Seven Corners Pl, Falls Church, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Lucas Kidd Gwynn
Address 6408 Seven Corners Pl, Falls Church, Virginia
Phone Number 7035311030
Fax Number 7035311031
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1588681274
Provider Enumeration Date 2006-07-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6408 Seven Corners Pl
City Falls Church
State Virginia (VA)
Post Code 220442034
Phone Number 7035311030
Fax Number 7035311031

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 101223967
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
146092 VA ANTHEM BCBS
279883 VA AMERIGROUP

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FAQs about Lucas Kidd Gwynn

What is the unique 10-digit identifier code issued to Lucas Kidd Gwynn by the Centers for Medicare & Medicaid Services?

The Lucas Kidd Gwynn has been assigned the NPI (National Provider Identifier) 1588681274 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Lucas Kidd Gwynn is geographically located?

The Lucas Kidd Gwynn is physically situated at the following location: 6408 Seven Corners Pl, Falls Church, VA, 220442034.

What is Lucas Kidd Gwynn's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lucas Kidd Gwynn's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.

When did Lucas Kidd Gwynn receive its 1588681274 assignment?

The Lucas Kidd Gwynn was assigned its 1588681274 on 2006-07-17, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Lucas Kidd Gwynn most recently updated or revised?

The details related to Lucas Kidd Gwynn, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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