Healthcare Provider Details

I. General information

NPI: 1417913625
Provider Name (Legal Business Name): LYNCH DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8159 US HIGHWAY 60 W
LEWISPORT KY
42351-7081
US

IV. Provider business mailing address

PO BOX 365
LEWISPORT KY
42351-0365
US

V. Phone/Fax

Practice location:
  • Phone: 270-295-7262
  • Fax: 270-295-7270
Mailing address:
  • Phone: 270-295-7262
  • Fax: 270-295-7270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MISS KAREN AMMON
Title or Position: OFFICE MANAGER
Credential:
Phone: 270-295-7262