Individual
DR. LAVONNE ANNETTE LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD., MAC, CCJS, LPC
Contact information
Practice address
220 S RIDGEWOOD AVE, SUITE 260, DAYTONA BEACH, FL 32114-4318
(386) 566-5138
Mailing address
5077 ORANGE AVE, PORT ORANGE, FL 32127-5417
(386) 690-8278
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
07/09/2007
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