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NPI Code Detail

MEDICARE: SKYLER LYNCH

MEDICARE:   SKYLER  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
1172V00000XCommunity Health Worker
2208VP0014XInterventional Pain Medicine PhysicianPA15840TX
3363A00000XPhysician Assistant

General Provider Information

NPI Number : 1114346368
Entity Type Code : Individual
Provider Name (Legal Business Name) : SKYLER LYNCH
Provider Business Mailing Address
First Line : 118 PRIVATE ROAD 3248
Second Line :
City : DECATUR
State : TX
Zip : 76234-4866
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2432 AVONDALE HASLET RD STE 100
Second Line :
City : HASLET
State : TX
Zip : 76052-3446
Country : US
Telephone Number : 817-928-3149
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2014
Last Update Date : 03/18/2024

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Directions to “ SKYLER LYNCH ” Practice Location

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