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NPI Code Detail

MEDICARE: DOUGLAS LYNCH DC

MEDICARE: DOUGLAS LYNCH DC
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
1111N00000XChiropractor7841AZ

General Provider Information

NPI Number : 1376733303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS LYNCH DC
Provider Business Mailing Address
First Line : 10723 W INDIAN SCHOOL RD
Second Line :
City : AVONDALE
State : AZ
Zip : 85392-5636
Country : US
Telephone Number : 623-848-6991
Fax Number : 623-848-6993
Provider Business Practice Location Address
First Line : 10723 W INDIAN SCHOOL RD
Second Line :
City : AVONDALE
State : AZ
Zip : 85392-5636
Country : US
Telephone Number : 623-848-6991
Fax Number : 623-848-6993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2007
Last Update Date : 07/26/2007

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Directions to “ DOUGLAS LYNCH DC” Practice Location

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