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NPI Code Detail

MEDICARE: SARA KATHERINE LYNCH MS, ATC, LAT

MEDICARE:   SARA KATHERINE LYNCH  MS, ATC, LAT
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1184099814
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA KATHERINE LYNCH MS, ATC, LAT
Provider Business Mailing Address
First Line : 723 MAPLE DR
Second Line :
City : TALLADEGA
State : AL
Zip : 35160-2812
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5291 VALLEYDALE RD
Second Line : SUITE 113
City : BIRMINGHAM
State : AL
Zip : 35242-7705
Country : US
Telephone Number : 256-453-4658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2015
Last Update Date : 09/22/2016

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Directions to “ SARA KATHERINE LYNCH MS, ATC, LAT” Practice Location

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