Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 10753 | PR |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 10753 | PR |
NPI | 1487630646 |
---|---|
Provider Name | Mrs. Lauren Lynch |
First Address | San Juan, PR 00910 |
Second Address | San Juan, PR 00909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2005 |
Last Update Date | 29/05/2018 |