Healthcare Provider Details

I. General information

NPI: 1447821244
Provider Name (Legal Business Name): ALLISON LUMSDEN LYNCH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2021
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 POPLAR ST STE B
MACON GA
31201-3336
US

IV. Provider business mailing address

2675 WINKLER AVE STE 200
FORT MYERS FL
33901-9328
US

V. Phone/Fax

Practice location:
  • Phone: 478-746-0097
  • Fax: 478-742-4051
Mailing address:
  • Phone: 877-856-3774
  • Fax: 239-599-2612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP228197
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: