Doctor Name: | JOHN J LYNCH |
NPI Number: | 1013164359 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RDO |
License Number: | RI0114 |
Business Practice Address: | 7665 Post Rd North Kingstown, RI - 028523220 |
Business Phone Number: | 4012951334 |
Business Fax Number: | 4012951358 |
Mailing Address: | 7665 Post Rd, NORTH KINGSTOWN |
State: | RI |
Postal Code: | 028523220 |
Phone Number: | 4012951334 |
Fax Number: | 4012951358 |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | RI0114 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |