Provider Demographics
NPI:1679579189
Name:FINNEGAN, LYNN ANNE (OD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ANNE
Last Name:FINNEGAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 VACATION CT
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11741-1614
Mailing Address - Country:US
Mailing Address - Phone:631-471-9710
Mailing Address - Fax:
Practice Address - Street 1:NORTHPORT VAMC-OPTOMETRY SERVICE
Practice Address - Street 2:79 MIDDLEVILE RD
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-2200
Practice Address - Country:US
Practice Address - Phone:631-261-4400
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT0005107152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist