Individual
STEPHANIE C LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4171 WESTPORT RD, LOUISVILLE, KY 40207-2739
(502) 896-8868
Mailing address
4171 WESTPORT RD, LOUISVILLE, KY 40207-2739
(502) 896-8868
(502) 895-6278
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39239
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356008
BLUE SHIELD
KY
Enumeration date
11/25/2005
Last updated
04/10/2024
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