Organization
LYNNE M HAVEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNNE M HAVEN MD (OWNER)
(203) 869-4242
Entity
Organization
Contact information
Practice address
49 LAKE AVE, GREENWICH, CT 06830-4501
(203) 869-4242
Mailing address
49 LAKE AVENUE, GREENWICH, CT 06830
(203) 869-4242
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070000420
MEDICARE
CT
Enumeration date
02/09/2012
Last updated
02/09/2012
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