Individual
DR. LYNDA M FANN
Active
Individual
DR. LYNDA M FANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
154023
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021092
NEIGHBORHOOD HLTH PLAN
MA
01
—
042297845
GIC UNICARE
MA
01
—
154023
TUFTS
MA
05
—
3171434
—
MA
01
—
33931
FALLON
MA
01
—
5452575
AETNA
MA
01
—
68861
HVD PILGRIM HEALTH CARE
MA
01
—
B10358401
CIGNA
MA
01
—
J17806
BCBS
MA
Enumeration date
10/31/2005
Last updated
03/12/2019
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