Individual
CARLENE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 CANNONADE CT, COVINGTON, GA 30016-7431
(347) 661-6268
Mailing address
30 CANNONADE CT, COVINGTON, GA 30016-7431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
473017
NY
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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