Provider Demographics
NPI:1760768527
Name:TEO, LYNN (MAOM)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:TEO
Suffix:
Gender:F
Credentials:MAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5502 CHARLCOTE RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3736
Mailing Address - Country:US
Mailing Address - Phone:301-456-5467
Mailing Address - Fax:
Practice Address - Street 1:6917 ARLINGTON RD
Practice Address - Street 2:SUITE 223
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-5211
Practice Address - Country:US
Practice Address - Phone:301-456-5467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-25
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist