Individual
LISA LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
110 WILLIS AVE, MINEOLA, NY 11501-2620
(516) 294-0030
Mailing address
68 SOUTH SERVICE ROAD, SUITE 350, MELVILLE, NY 11747-2358
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
468595
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400023071
EMPIRE MEDICARE
NY
01
—
G400011739
GHI MEDICARE
NY
01
—
P01054320
RAILROAD MEDICARE
NY
Enumeration date
05/10/2007
Last updated
09/06/2022
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