Individual
JOHN A LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(651) 635-9173
Mailing address
1055 WESTGATE DR STE 100, SAINT PAUL, MN 55114-1451
(651) 635-9173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28548
MN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
28548
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483382100
—
MN
Enumeration date
04/05/2006
Last updated
11/10/2020
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