MEDICARE: MRS. LAUREN LYNCH MD

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	207VM0101X	Maternal & Fetal Medicine Physician	10753	PR
2	207SG0201X	Clinical Genetics (M.D.) Physician	10753	PR

General Provider Information

NPI Number	:	1487630646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN LYNCH MD

Provider Business Mailing Address
First Line	:	PO BOX 8337
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00910
Country	:	US
Telephone Number	:	787-982-0088
Fax Number	:	787-982-0091

Provider Business Practice Location Address
First Line	:	CALLE AMERICA SALAS 1420
Second Line	:	SUITE 202
City	:	SAN JUAN
State	:	PR
Zip	:	00909
Country	:	US
Telephone Number	:	787-726-6969
Fax Number	:	787-982-0091

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	05/29/2018

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