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NPI Code Detail

MEDICARE: GREGORY J LYNCH D.O.

MEDICARE:   GREGORY J 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
1208600000XSurgery PhysicianOS005328LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689668766
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY J LYNCH D.O.
Provider Business Mailing Address
First Line : 640 KOLTER DR
Second Line :
City : INDIANA
State : PA
Zip : 15701-3570
Country : US
Telephone Number : 724-357-7196
Fax Number : 724-357-7279
Provider Business Practice Location Address
First Line : 841 HOSPITAL RD STE 2300
Second Line :
City : INDIANA
State : PA
Zip : 15701-3699
Country : US
Telephone Number : 724-349-7820
Fax Number : 724-349-8816
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 04/14/2021

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Directions to “ GREGORY J LYNCH D.O.” Practice Location

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