MEDICARE: MRS. PETRA S. LYNCH M.D.

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	207R00000X	Internal Medicine Physician	0101276307	VA
2	207RC0000X	Cardiovascular Disease Physician	MD445974	PA
3	207RC0000X	Cardiovascular Disease Physician	38293	AL
4	207RC0000X	Cardiovascular Disease Physician	0101276307	VA
5	207RI0011X	Interventional Cardiology Physician	MD445974	PA
6	207RI0011X	Interventional Cardiology Physician	86479	GA
7	207RI0011X	Interventional Cardiology Physician	0101276307	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184896755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PETRA S. LYNCH M.D.

Provider Business Mailing Address
First Line	:	1031 LOFTIS BLVD STE 100
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-2981
Country	:	US
Telephone Number	:	757-736-9860
Fax Number	:	757-240-5537

Provider Business Practice Location Address
First Line	:	1031 LOFTIS BLVD STE 100
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-2981
Country	:	US
Telephone Number	:	757-736-9860
Fax Number	:	757-240-5537

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

Provider Enumeration Date	:	03/24/2008
Last Update Date	:	11/30/2022

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Directions to “ MRS. PETRA S. LYNCH M.D.” Practice Location

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