Individual
DR. LYNNE F BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 W. MAPLE, FARMINGTON, NM 87401
(505) 325-1572
Mailing address
PO BOX 2019, FARMINGTON, NM 87499-2019
(505) 325-1572
(505) 327-4887
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2002-0013
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G8137
—
NM
Enumeration date
06/14/2006
Last updated
06/22/2021
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