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NPI Code Detail

MEDICARE: PAMELA LYNCH

MEDICARE: PAMELA 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
11041C0700XClinical Social Worker6801093686MI

General Provider Information

NPI Number : 1932530615
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA LYNCH
Provider Business Mailing Address
First Line : 105 HALL ST UNIT A
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2288
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 HALL ST UNIT A
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2288
Country : US
Telephone Number : 231-935-3697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2013
Last Update Date : 05/26/2026

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Directions to “ PAMELA LYNCH ” Practice Location

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