Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 34009241 | OH |
Y | 2084N0400X | Neurologist | OS013094 | PA |
NPI | 1013038850 |
---|---|
Provider Name | Dr. Ryan J Lynch |
First Address | Erie, PA 16505-2571 |
Second Address | Erie, PA 16509-2603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 05/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1018895180003 | (05) | PA |
2828122 | (05) | OH |