Healthcare Provider Details

I. General information

NPI: 1972160539
Provider Name (Legal Business Name): MEGAN LYNCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2019
Last Update Date: 11/07/2022
Certification Date: 11/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3169 BEECHER ROAD STE. 203
FLINT MI
48532
US

IV. Provider business mailing address

8285 S SAGINAW ST STE 7
GRAND BLANC MI
48439-2436
US

V. Phone/Fax

Practice location:
  • Phone: 844-318-4893
  • Fax:
Mailing address:
  • Phone: 810-321-3001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: