Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 234955 | NY |
Y | 207L00000X | Anesthesiologist | MD428837 | PA |
NPI | 1013006733 |
---|---|
Provider Name | Richard E. Lynch |
First Address | Pittsburgh, PA 15224-1722 |
Second Address | Augusta, GA 30907-2464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 27/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1018666300001 | (05) | PA |
2767519 | (05) | OH |
3810009039 | (05) | WV |