Provider Demographics
NPI:1073748430
Name:LINTON, DEVON (DOM, AP, LAC, MLS)
Entity Type:Individual
Prefix:DR
First Name:DEVON
Middle Name:
Last Name:LINTON
Suffix:
Gender:M
Credentials:DOM, AP, LAC, MLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 31ST ST S STE B
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-1663
Mailing Address - Country:US
Mailing Address - Phone:703-855-3910
Mailing Address - Fax:703-933-8888
Practice Address - Street 1:4900 31ST ST S STE B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-1663
Practice Address - Country:US
Practice Address - Phone:703-855-3910
Practice Address - Fax:703-933-8888
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2682171100000X
167931246QM0706X
VA0121000668171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist