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NPI Code Detail

MEDICARE: THOMAS LYNAM PA-C

MEDICARE: THOMAS LYNAM 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
1146D00000XPersonal Emergency Response Attendant000328CT

General Provider Information

NPI Number : 1528151263
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS LYNAM PA-C
Provider Business Mailing Address
First Line : 267 GRANT ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06610
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 267 GRANT ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06610
Country : US
Telephone Number : 203-384-4490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 03/08/2026

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Directions to “ THOMAS LYNAM PA-C” Practice Location

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