DR. LYNN ANDRE HENRICKSON M.D. NPI 1225013766

NPI Information

  • NPI: 1225013766
  • Provider Name: DR. LYNN ANDRE HENRICKSON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 17 LA AGUAPA
    SANDIA PARK, NM
    ZIP 87047
  • Phone: (505) 286-8027

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NPI Details

DR. Lynn Andre Henrickson, M.D. is a diagnostic radiology radiology in Sandia Park, NM. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Lynn Andre Henrickson, M.D. NPI is 1225013766. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17 LA AGUAPA
SANDIA PARK, NM
ZIP 87047-676
Phone: (505) 286-8027

The enumeration date for this NPI number is 12/7/2005 and was last updated on 1/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMD2005-0215NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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