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Individual

MARY ELISE LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5501 OLD YORK RD # LIFTER1, PHILADELPHIA, PA 19141-3018
(215) 456-7405
(215) 456-7403
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D92315
MD
207V00000X
Obstetrics & Gynecology Physician
Primary
MD482982
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D92315
LICENSE
MD
Enumeration date
03/27/2017
Last updated
10/23/2023
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