MEDICARE: CORTNEY LYNCH

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1669363511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORTNEY LYNCH

Provider Business Mailing Address
First Line	:	PO BOX 2086
Second Line	:
City	:	EUREKA
State	:	MT
Zip	:	59917-2086
Country	:	US
Telephone Number	:	801-824-8724
Fax Number	:

Provider Business Practice Location Address
First Line	:	1338 S FOOTHILL DR # 333
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-2321
Country	:	US
Telephone Number	:	801-754-6051
Fax Number	:

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

Provider Enumeration Date	:	07/10/2025
Last Update Date	:	07/10/2025

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Directions to “ CORTNEY LYNCH ” Practice Location

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