Healthcare Provider Details

I. General information

NPI: 1093247041
Provider Name (Legal Business Name): WHITNEY LEIGH LYNCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2017
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 S LIMESTONE STE 304
LEXINGTON KY
40536-3522
US

IV. Provider business mailing address

9200 W WISCONSIN AVE
MILWAUKEE WI
53226-3522
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-0303
  • Fax: 859-323-1200
Mailing address:
  • Phone: 414-805-6850
  • Fax: 414-805-6851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number73000
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number60004
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: