Individual
LYNN M CARNAROLI IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
85 SACHEM ST, NORWICH, CT 06360-4201
(860) 889-5812
Mailing address
85 SACHEM STREET, NORWICH, CT 06360
(860) 889-5812
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000586
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810565345
PHCS
CT
05
—
004074233
—
GU
01
—
050000586CT01
ANTHEM BC/BS
CT
05
—
2370484
—
CT
01
—
659225
UNITED HEALTHCARE OF NE
CT
01
—
659255
ACN GROUP
CT
01
—
CT00586
LANDMARK HEALTHCARE
CT
01
—
NLS067
OXFORD HEALTHCARE
CT
01
—
P00063165
RAILROAD RETIREMENT
CT
01
—
P11114893
MULTIPLAN
CT
Enumeration date
08/19/2006
Last updated
07/09/2007
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