Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 04-37124 | KS |
Y | 204F00000X | Transplant Surgeon | 67241 | GA |
N | 208200000X | Surgeon | 4301085631 | MI |
N | 208600000X | Surgeon | 4301085631 | MI |
NPI | 1164541397 |
---|---|
Provider Name | Dr. Raymond John Lynch |
First Address | Atlanta, GA 30322-0001 |
Second Address | Atlanta, GA 30322-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 13/04/2014 |