Individual
THOMAS LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11344 AVENIDA AUGUSTA, CLERMONT, FL 34711-7887
(352) 243-7959
(352) 243-3497
Mailing address
11344 AVENIDA AUGUSTA, CLERMONT, FL 34711-7887
(352) 243-7959
(352) 243-3497
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230130000
—
FL
Enumeration date
05/01/2008
Last updated
05/01/2008
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