MEDICARE: MR. THOMAS LYNCH CRNA

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	367500000X	Certified Registered Nurse Anesthetist	RN193706	PA

General Provider Information

NPI Number	:	1578555124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS LYNCH CRNA

Provider Business Mailing Address
First Line	:	43 KENSICO DR
Second Line	:	2ND FLOOR
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-1009
Country	:	US
Telephone Number	:	914-666-8866
Fax Number	:	914-666-6777

Provider Business Practice Location Address
First Line	:	400 HIGHLAND AVE
Second Line	:	LEWISTOWN HOSPITAL
City	:	LEWISTOWN
State	:	PA
Zip	:	17044-1167
Country	:	US
Telephone Number	:	717-248-5411
Fax Number	:

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	11/06/2007

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