Healthcare Provider Details

I. General information

NPI: 1023040664
Provider Name (Legal Business Name): ANNE ELIZABETH LYNCH F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NEWTON-WELLESLEY HOSPITAL 2014 WASHINGTON ST
NEWTON MA
02462-9901
US

IV. Provider business mailing address

788 CONCORD RD
SUDBURY MA
01776-1100
US

V. Phone/Fax

Practice location:
  • Phone: 617-243-6168
  • Fax: 617-243-6143
Mailing address:
  • Phone: 978-443-5805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number145761
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: