Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lynn M Moreno, PA-C

Individual provider Physician Assistant · NPI 1992047443

Lynn M Moreno, PA-C is a Physician Assistant in Suffolk, Virginia. Licensed in Illinois and Virginia. Registered with an NPI since 2013.

Licensed in
IL, VA
In the registry since
2013
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2790 Godwin Blvd Ste 100
Suffolk, VA 23434-8151
Phone: (757) 983-8750
Fax: (757) 510-9442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110006449 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085004597 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085004597 (IL)

Record details

NPI number1992047443
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 22, 2013
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022

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