Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 26556 | MS |
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | E-13653 | AR |
NPI | 1588047443 |
---|---|
Provider Name | Dr. Whitney Danjack Lynch |
First Address | Fort Smith, AR 72916-9269 |
Second Address | Fort Smith, AR 72903-5197 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2015 |
Last Update Date | 25/01/2022 |