Healthcare Provider Details

I. General information

NPI: 1609369065
Provider Name (Legal Business Name): LAUREN LYNCH MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AMERICO SALAS 1420 SUITE 202
SAN JUAN PR
00909
US

IV. Provider business mailing address

PO BOX 8337 SAN JUAN
PR PR
00910
US

V. Phone/Fax

Practice location:
  • Phone: 787-726-6969
  • Fax: 787-982-0088
Mailing address:
  • Phone: 787-726-6969
  • Fax: 787-982-0091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAUREN LYNCH
Title or Position: OWNER, MD
Credential: MD
Phone: 787-726-6969