DR. LYNN ANDRE HENRICKSON M.D.
NPI 1225013766
Radiology - Diagnostic Radiology in Sandia Park, NM
- Individual
- Male
- Radiology
- Diagnostic Radiology
About LYNN HENRICKSON
This page provides the complete NPI Profile along with additional information for Lynn Henrickson, a provider established in Sandia Park, New Mexico with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1225013766 assigned on December 2005. The practitioner's primary taxonomy code is 2085R0202X with license number MD2005-0215 (NM). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1225013766 Verify this NPI
- Provider Name
- DR. LYNN ANDRE HENRICKSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 17 LA AGUAPA SANDIA PARK, NM 87047
- Location Phone
- (505) 286-8027
- Mailing Address
- 17 LA AGUAPA SANDIA PARK, NM 87047
- Mailing Phone
- (505) 286-8027
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-07-2005
- Last Update Date
- 01-06-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD2005-0215
- License State
- NM
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225013766, enumerated as an "individual" on December 07, 2005.
The provider is located at 17 LA AGUAPA SANDIA PARK, NM 87047 and the phone number is (505) 286-8027.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.