Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DS024807L | PA |
Y | 213EG0000X | General Practice | DS024807L | PA |
NPI | 1003948019 |
---|---|
Provider Name | Dr. Sarah Margaret Lynch |
First Address | Lemoyne, PA 17043-1163 |
Second Address | Lemoyne, PA 17043-1163 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T82295 | (02) | PA |