Basic Information
Provider Information
NPI: 1013962471
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOPKINSON
FirstName: LYN
MiddleName:  
NamePrefix: MISS
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 IRVING ST NW STE 4122
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200103017
CountryCode: US
TelephoneNumber: 2028777773
FaxNumber: 2028777775
Practice Location
Address1: 110 IRVING ST NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200102976
CountryCode: US
TelephoneNumber: 2028777632
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/24/2006
LastUpdateDate: 02/14/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XRN59273DCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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