Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 007356 | IA |
NPI | 1073815171 |
---|---|
Provider Name | Dr. Peter Harland Lynch |
First Address | Dubuque, IA 52001-2932 |
Second Address | Dubuque, IA 52001-6363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2010 |
Last Update Date | 27/06/2013 |