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Individual

DR. GAYLENE FAYE LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 574-6684
Mailing address
1230 RIVER VISTA DR, DES MOINES, IA 50315-1050
(515) 283-1360
(515) 246-8340

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1849
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31549
WELLMARK OF IOWA
IA
05
5206888
IA
01
54683
MEDICARE GROUP NUMBER
IA
Enumeration date
10/21/2005
Last updated
03/24/2008
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