Lynette A. White is a Medical in Bethany, Connecticut. Lynette A. White practices all healthcare services and medical treatments related to Medical. The NPI Number for Lynette A. White is 1962491555. The last update date is 2023-03-07.
Lynette A. White's current location address is 579 Bethmour Rd, Bethany, Connecticut. You can contact this provider via phone number 2033931142. The mailing address for Lynette A. White is 579 Bethmour Rd, Bethany, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynette A. White |
|---|---|
| Address | 579 Bethmour Rd, Bethany, Connecticut |
| Phone Number | 2033931142 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1962491555 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 579 Bethmour Rd |
|---|---|
| City | Bethany |
| State | Connecticut (CT) |
| Post Code | 65243369 |
| Phone Number | 2033931142 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1040 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31326 | CT | CONTROLLED SUBSTANCE |
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What is the unique 10-digit identification code issued to Lynette A. White by the Centers for Medicare & Medicaid Services?
The Lynette A. White has been assigned the NPI (National Provider Identifier) 1962491555 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Lynette A. White located?
The Lynette A. White is located at 579 Bethmour Rd, Bethany, CT 65243369.
What is Lynette A. White's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lynette A. White's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962491555 to Lynette A. White?
The Centers for Medicare & Medicaid Services assigned the 1962491555 to Lynette A. White on 2005-10-17.
As of what date were the Lynette A. White's details last updated?
The information pertaining to the Lynette A. White, including its address, specialty, and other details, was most recently updated on 2023-03-07.