Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | TN |
NPI | 1043394638 |
---|---|
Provider Name | Julie L Lynch |
First Address | Spring Hill, TN 37174-2327 |
Second Address | Franklin, TN 37067-8290 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/07/2007 |