MEDICARE: ROBERT DALE 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	207Q00000X	Family Medicine Physician	ME55532	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080184834	OTHER	FL	RR MEDICARE

General Provider Information

NPI Number	:	1841293198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT DALE LYNCH MD

Provider Business Mailing Address
First Line	:	18550 US HIGHWAY 441
Second Line	:	STE A
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-6751
Country	:	US
Telephone Number	:	407-889-4281
Fax Number	:

Provider Business Practice Location Address
First Line	:	18540 US HIGHWAY 441
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-6725
Country	:	US
Telephone Number	:	352-383-7743
Fax Number	:	352-383-9226

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	09/21/2016

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Directions to “ ROBERT DALE LYNCH MD” Practice Location

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