Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD046666L | PA |
NPI | 1073536116 |
---|---|
Provider Name | Dr. Henry Hudson Lindner |
First Address | Tunkhannock, PA 18657-6667 |
Second Address | Tunkhannock, PA 18657-6667 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 19/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101142264 0001 | (05) | PA |
121467 | (02) | PA |