Provider Demographics
NPI:1225050842
Name:AMOWITZ, LYNN L (MD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:L
Last Name:AMOWITZ
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 1:13979 WETHERBURN ST
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-4278
Mailing Address - Country:US
Mailing Address - Phone:202-828-5155
Mailing Address - Fax:
Practice Address - Street 1:INTERNATIONAL MEDICAL CORPS
Practice Address - Street 2:1600 K ST NW, STE 400
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006
Practice Address - Country:US
Practice Address - Phone:202-828-5155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81861207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine