Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 4301065180 | MI |
NPI | 1124072723 |
---|---|
Provider Name | Dr. Lynda Catherine Hammond |
First Address | Jackson, MI 49201-1044 |
Second Address | Jackson, MI 49201-1044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 08/07/2007 |