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NPI Code Detail

MEDICARE: ANN HARMON LYNCH PA

MEDICARE: ANN HARMON LYNCH PA
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
1363AM0700XMedical Physician AssistantPA-682ME
2363A00000XPhysician Assistant0010-05243NC

General Provider Information

NPI Number : 1396788287
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN HARMON LYNCH PA
Provider Business Mailing Address
First Line : 615 SHIPYARD BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-6431
Country : US
Telephone Number : 910-343-0145
Fax Number :
Provider Business Practice Location Address
First Line : 615 SHIPYARD BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-6431
Country : US
Telephone Number : 910-343-0145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 11/04/2016

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