Provider Demographics
NPI:1790759124
Name:DUFFY, LYNN F (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:F
Last Name:DUFFY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3022 WILLIAMS DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4600
Mailing Address - Country:US
Mailing Address - Phone:703-698-8960
Mailing Address - Fax:703-641-8427
Practice Address - Street 1:3022 WILLIAMS DR
Practice Address - Street 2:SUITE 301
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4600
Practice Address - Country:US
Practice Address - Phone:703-698-8960
Practice Address - Fax:703-641-8427
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2016-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010416702080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6724329Medicaid
VA6724329Medicaid
E69343Medicare UPIN