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NPI Code Detail

MEDICARE: MR. DONALD L LYNCH JR.

MEDICARE: MR. DONALD L LYNCH JR.
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1851953210
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONALD L LYNCH JR.
Provider Business Mailing Address
First Line : 4750 BARTLAM AVE
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-1809
Country : US
Telephone Number : 216-401-3802
Fax Number :
Provider Business Practice Location Address
First Line : 4750 BARTLAM AVE
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-1809
Country : US
Telephone Number : 216-401-3802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2019
Last Update Date : 07/05/2019

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Directions to “ MR. DONALD L LYNCH JR. ” Practice Location

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