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NPI Code Detail

MEDICARE: MRS. MARTHA JANE LYNCH PA-C

MEDICARE: MRS. MARTHA JANE LYNCH PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant13075CA

General Provider Information

NPI Number : 1093727133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARTHA JANE LYNCH PA-C
Provider Business Mailing Address
First Line : 1144 65TH ST STE F
Second Line :
City : OAKLAND
State : CA
Zip : 94608-1053
Country : US
Telephone Number : 510-929-1400
Fax Number : 510-929-1414
Provider Business Practice Location Address
First Line : 1144 65TH ST STE F
Second Line :
City : OAKLAND
State : CA
Zip : 94608-1053
Country : US
Telephone Number : 510-929-1400
Fax Number : 510-929-1414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 10/14/2022

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Directions to “ MRS. MARTHA JANE LYNCH PA-C” Practice Location

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