Individual
LYNDA SUE HAMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
551 KOKOPELLI BLVD, STE J, FRUITA, CO 81521-6305
(970) 214-1503
(970) 858-2555
Mailing address
551 KOKOPELLI BLVD, STE J, FRUITA, CO 81521-6305
(970) 241-1503
(970) 858-2555
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
42907
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80500536
—
CO
Enumeration date
09/07/2005
Last updated
01/25/2012
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