Provider Demographics
NPI:1033103288
Name:MCROY, LYNN L (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:L
Last Name:MCROY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11766
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24506-1766
Mailing Address - Country:US
Mailing Address - Phone:434-947-3901
Mailing Address - Fax:434-947-3907
Practice Address - Street 1:1911 THOMSON DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1008
Practice Address - Country:US
Practice Address - Phone:434-947-3901
Practice Address - Fax:434-947-3907
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101048149174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101048149OtherMEDICAL LICENSE
VA218200OtherANTHEM BC/BS
VA8049961002OtherCIGNA
VA0101048149OtherMEDICAL LICENSE