Individual
DR. GIENIA LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 E. NIZHONI BLVD, GALLUP INDIAN MEDICAL CENTER, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036101272
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036101272
STATE LICENSE
IL
05
—
036101272
—
IL
Enumeration date
12/09/2005
Last updated
06/26/2012
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