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General NPI Number Information
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NPI Number | 1851649065
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Entity Type | Individual
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Provider Name | LUKAS LAWRENCE LYNCH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2012
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Last Update Date | 08/17/2012
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Provider Practice Location Address
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Address Line | 1300 STATE HIGHWAY 55 NE
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City | BUFFALO
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State | MN
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Zip | 55313-4321
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Country | US
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Telephone | 763-682-5633
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Fax |
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Provider Business Mailing Address
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Address Line | 19412 QUEEN CIR NW
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City | ELK RIVER
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State | MN
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Zip | 55330-5035
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Country | US
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Telephone | 763-843-4044
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 120874
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License Number State | MN
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