Individual
MRS. LYNETTE A. WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2340 WHITNEY AVE, HAMDEN, CT 06518-3511
(203) 248-8142
(203) 248-7764
Mailing address
579 BETHMOUR RD, BETHANY, CT 06524-3369
(203) 393-1142
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001040
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31326
CONTROLLED SUBSTANCE
CT
Enumeration date
10/17/2005
Last updated
03/07/2023
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