Individual
DR. THOMAS P LYNGHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1060 GAFFNEY RD # 7440, USA MEDDAC-AK, MCUC-MMD-CREDENTIALS, FT WAINWRIGHT, AK 99703
(907) 353-5418
(907) 353-4847
Mailing address
1060 GAFFNEY RD # 7440, USA MEDDAC-AK, MCUC-MMD-CREDENTIALS, FT WAINWRIGHT, AK 99703-5001
(907) 353-5418
(907) 353-4847
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
29153
WI
207Q00000X
Family Medicine Physician
29153
WI
Other
Enumeration date
02/23/2007
Last updated
06/15/2018
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