Individual
LYNN D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 YORK ST, HUNTER BUILDING, 1ST FL, NEW HAVEN, CT 06510-3221
(203) 688-4344
(203) 737-1281
Mailing address
15 YORK ST, HUNTER BUILDING, 1ST FL, NEW HAVEN, CT 06510-3221
(203) 688-4344
(203) 737-1281
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
033720
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001337204
—
CT
Enumeration date
10/12/2005
Last updated
04/07/2011
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