MEDICARE: AMY 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
1	390200000X	Student in an Organized Health Care Education/Training Program		CT

General Provider Information

NPI Number	:	1649148966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY LYNCH

Provider Business Mailing Address
First Line	:	80 FISHER DR
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-3798
Country	:	US
Telephone Number	:	860-696-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 FISHER DR
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-3798
Country	:	US
Telephone Number	:	860-696-1000
Fax Number	:

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

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	10/30/2025

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Directions to “ AMY LYNCH ” Practice Location

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