Individual
BENJAMIN D. LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 421-1127
(580) 436-6674
Mailing address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 421-1127
(580) 436-6674
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29897
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2013
Last updated
07/13/2016
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