Individual
LINDA CARRADINE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-2199
(505) 758-8883
(505) 751-5705
Mailing address
PO BOX DD, TAOS, NM 87571-2199
(505) 758-8883
(505) 751-5718
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
93-84
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19748
—
NM
Enumeration date
04/28/2006
Last updated
08/21/2007
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