Individual
LYNN M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
15 WOODBINE STREET, TORRINGTON, CT 06790
(860) 626-0080
(860) 201-0023
Mailing address
PO BOX 266, 15 WOODBINE STREET, TORRINGTON, CT 06790
(860) 626-0080
(860) 201-0023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001142
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001142CT02
ANTHEM ID
CT
Enumeration date
02/05/2007
Last updated
07/08/2007
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