Healthcare Provider Details

I. General information

NPI: 1497275523
Provider Name (Legal Business Name): NATALIE LYNCH DO, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2017
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 W NORFOLK AVE
NORFOLK NE
68701-4438
US

IV. Provider business mailing address

2700 W NORFOLK AVE
NORFOLK NE
68701-4438
US

V. Phone/Fax

Practice location:
  • Phone: 402-371-4880
  • Fax: 402-644-7503
Mailing address:
  • Phone: 402-371-4880
  • Fax: 402-644-7503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2020021935
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2071
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: