Provider Demographics
NPI:1578504627
Name:MCGINNIS, LYNDA LARDNER (DPM)
Entity Type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:LARDNER
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1513 YORK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-5611
Mailing Address - Country:US
Mailing Address - Phone:410-583-9229
Mailing Address - Fax:410-583-9229
Practice Address - Street 1:1513 YORK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-5611
Practice Address - Country:US
Practice Address - Phone:410-583-9229
Practice Address - Fax:410-583-9229
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00954213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT59832Medicare UPIN
MDT097Medicare ID - Type Unspecified