Healthcare Provider Details

I. General information

NPI: 1730067547
Provider Name (Legal Business Name): JOHN HENRY LYNCH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7896 SUMMERLIN BLVD
LIBERTY TOWNSHIP OH
45044-8216
US

IV. Provider business mailing address

1011 OAKMONT AVE
HAMILTON OH
45013-3831
US

V. Phone/Fax

Practice location:
  • Phone: 513-292-6978
  • Fax:
Mailing address:
  • Phone: 513-280-7220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: