Provider Demographics
NPI:1316021587
Name:LYNCH, DIONNE GAY (MD)
Entity Type:Individual
Prefix:DR
First Name:DIONNE
Middle Name:GAY
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DIONNE
Other - Middle Name:RENEE
Other - Last Name:GAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6323 GEORGIA AVE NW
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1101
Mailing Address - Country:US
Mailing Address - Phone:202-722-4708
Mailing Address - Fax:202-722-7512
Practice Address - Street 1:6323 GEORGIA AVE NW
Practice Address - Street 2:SUITE 207
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1101
Practice Address - Country:US
Practice Address - Phone:202-722-4708
Practice Address - Fax:202-722-7512
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD31570207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC034406600Medicaid
DCH99150Medicare UPIN
DCH99150Medicare UPIN