MEDICARE: LARRY LYNCH LCSW

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
1	1041C0700X	Clinical Social Worker	2422	OK

General Provider Information

NPI Number	:	1093911216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY LYNCH LCSW

Provider Business Mailing Address
First Line	:	6262 S SHERIDAN RD
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-4055
Country	:	US
Telephone Number	:	918-492-8200
Fax Number	:	918-493-3268

Provider Business Practice Location Address
First Line	:	8805 N 23RD AVE STE 120
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-4149
Country	:	US
Telephone Number	:	602-265-8800
Fax Number	:	602-265-8151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	07/14/2025

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Directions to “ LARRY LYNCH LCSW” Practice Location

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