MEDICARE: SUZANNE LYNCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801059003	MI

General Provider Information

NPI Number	:	1023947249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE LYNCH

Provider Business Mailing Address
First Line	:	9183 APPLE ORCHARD DR
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-8912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9183 APPLE ORCHARD DR
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-8912
Country	:	US
Telephone Number	:	248-459-7546
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ SUZANNE LYNCH ” Practice Location

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