Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | ARNP 2574372 | FL |
NPI | 1033363643 |
---|---|
Provider Name | Diana A Lynch |
First Address | Fort Lauderdale, FL 33315-2643 |
Second Address | Fort Lauderdale, FL 33315-2643 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2008 |
Last Update Date | 10/11/2008 |