| Doctor Name: | KATRINA REAGAN LYNCH |
| NPI Number: | 1154337863 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 4683 |
| Business Practice Address: | 2450 E Show Low Lake Rd Ste 2a Show Low, AZ - 859017953 |
| Business Phone Number: | 9285379944 |
| Business Fax Number: | 9285379945 |
| Mailing Address: | 2450 E Show Low Lake Rd Ste 2a, SHOW LOW |
| State: | AZ |
| Postal Code: | 859017953 |
| Phone Number: | 9285379944 |
| Fax Number: | 9285379945 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 05/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 4683 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |