Individual
LYNN WALTER FARNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
59 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2200
Mailing address
59 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8489
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105769Y0NH03
ANTHEM
NH
05
—
30004104
—
NH
01
—
34777170
CIGNA
NH
Enumeration date
01/16/2007
Last updated
04/20/2009
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