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NPI Code Detail

MEDICARE: LINDSEY ANN LYNCH PA-C

MEDICARE:   LINDSEY ANN 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 Assistant85003493IL

General Provider Information

NPI Number : 1295965945
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY ANN LYNCH PA-C
Provider Business Mailing Address
First Line : 130 N WEBER RD
Second Line : SUITE 100
City : BOLINGBROOK
State : IL
Zip : 60440-1518
Country : US
Telephone Number : 630-646-5777
Fax Number : 630-646-5729
Provider Business Practice Location Address
First Line : 130 N WEBER RD
Second Line : SUITE 100
City : BOLINGBROOK
State : IL
Zip : 60440-1518
Country : US
Telephone Number : 630-646-5777
Fax Number : 630-646-5729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2009
Last Update Date : 12/30/2020

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Directions to “ LINDSEY ANN LYNCH PA-C” Practice Location

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