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NPI Code Detail

MEDICARE: BARLOW ST CLAIR LYNCH MD

MEDICARE:   BARLOW ST CLAIR LYNCH  MD
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
1208800000XUrology PhysicianD30609MD
2208800000XUrology PhysicianME136412FL
3208800000XUrology Physician036147923IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OI025OTHERFLMEDICARE HF

Other Identifiers

General Provider Information

NPI Number : 1841277027
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARLOW ST CLAIR LYNCH MD
Provider Business Mailing Address
First Line : 7321 HANOVER PKWY
Second Line :
City : GREENBELT
State : MD
Zip : 20770-3616
Country : US
Telephone Number : 301-474-1324
Fax Number : 301-474-1327
Provider Business Practice Location Address
First Line : 699 W COCOA BEACH CSWY STE 506
Second Line :
City : COCOA BEACH
State : FL
Zip : 32931-3562
Country : US
Telephone Number : 321-631-2070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 11/03/2021

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Directions to “ BARLOW ST CLAIR LYNCH MD” Practice Location

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