Organization
MARK O. LYNCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK O LYNCH MD (OWNER)
(812) 232-1123
Entity
Organization
Contact information
Practice address
1818 N 6TH ST, TERRE HAUTE, IN 47804-4021
(812) 232-1123
(812) 232-1409
Mailing address
1818 N 6TH ST, TERRE HAUTE, IN 47804-4021
(812) 232-1123
(812) 232-1409
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100226060A
—
IN
01
—
C15692
MEDICARE RAILROAD
IN
Enumeration date
11/03/2006
Last updated
04/09/2013
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