Individual
DR. JOHN LYNCH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 LINCOLN PARK BLVD, SUITE 200, KETTERING, OH 45429-6401
(937) 298-8058
(937) 298-5638
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 752-2306
(937) 522-7626
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01057624A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051334
—
OH
Enumeration date
07/25/2006
Last updated
12/08/2020
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