Individual
MRS. LISA L LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 FOUNTAIN ST, SUTITE 109, CLINTON, NY 13323-1725
(315) 853-6090
(315) 853-3190
Mailing address
3351 MILITARY RD, NEWPORT, NY 13416-3213
(315) 853-6090
(315) 853-3190
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
003345-1
NY
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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