MEDICARE: DR. TIMOTHY R. LYNCH D.O.

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	207X00000X	Orthopaedic Surgery Physician	34007903	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00324531	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4258080006	OTHER	OH	DME NUMBER

General Provider Information

NPI Number	:	1568415321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY R. LYNCH D.O.

Provider Business Mailing Address
First Line	:	120 COLEMANS XING
Second Line	:
City	:	MARYSVILLE
State	:	OH
Zip	:	43040-7115
Country	:	US
Telephone Number	:	937-578-4200
Fax Number	:	937-578-4323

Provider Business Practice Location Address
First Line	:	120 COLEMANS XING
Second Line	:
City	:	MARYSVILLE
State	:	OH
Zip	:	43040-7115
Country	:	US
Telephone Number	:	937-578-4200
Fax Number	:	937-578-4323

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	06/25/2019

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