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Individual

DR. CHARLES T LYNCH

Active
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Individual

DR. CHARLES T LYNCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A43429
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A434290
BLUE SHIELD PROV NUMBER
CA
05
00A434290
CA
01
200123
BROWN & TOLAND VENDOR #
CA
05
5735023
CA
01
XXXXX 9619 941150000
TRICARE PROVIDER NUMBER
Enumeration date
10/18/2006
Last updated
07/29/2022
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