Individual
CAROLINE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 36TH ST SE, GRAND RAPIDS, MI 49512-2809
(616) 726-1966
Mailing address
4079 PINE CREEK RD SW, APT 7, GRANDVILLE, MI 49418-3111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704307661
MI
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
4704307661
MI
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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