Individual
LYNN T TANOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
789 HOWARD AVE, YALE PHYSICIANS BLDG 2ND FLR, NEW HAVEN, CT 06519-1304
(203) 785-4198
(203) 785-5453
Mailing address
PO BOX 9805, 300 GEORGE STREET 6TH FLOOR, NEW HAVEN, CT 06536-0805
(203) 785-7998
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
025842
CT
207RP1001X
Pulmonary Disease Physician
Primary
025842
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001258425
—
CT
Enumeration date
11/30/2005
Last updated
12/03/2007
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