Provider Demographics
NPI:1013983311
Name:GAYNES-KAPLAN, LYNNE A (MD)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:A
Last Name:GAYNES-KAPLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10710 CHARTER DR 410
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3276
Mailing Address - Country:US
Mailing Address - Phone:301-953-2080
Mailing Address - Fax:301-575-3193
Practice Address - Street 1:10710 CHARTER DR
Practice Address - Street 2:STE 410
Practice Address - City:CIOLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3276
Practice Address - Country:US
Practice Address - Phone:301-953-2080
Practice Address - Fax:301-575-3193
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0025775207RE0101X, 193400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes193400000XGroupSingle Specialty
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD055M875EMedicare PIN
MDB93705Medicare UPIN
MD154486L77Medicare ID - Type UnspecifiedDC METROPOLITAN MEDICARE