Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LYNN ANDRE HENRICKSON, M.D.
ActiveDR. LYNN ANDRE HENRICKSON, M.D. is a Diagnostic Radiology healthcare provider located in SANDIA PARK, New Mexico. NPI 1225013766 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · SANDIA PARK, NM
Registration Details
- NPI Number
- 1225013766
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2005 (20.719660521132 yrs)
- Last Updated
- Jan 6, 2011
- License
-
MD2005-0215 (NM)
Practice Information
- Address
-
17 LA AGUAPASANDIA PARK, NM, 870479676Browse NM providers · Browse ZIP 87047
- Phone
- 5052868027
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.