Individual
DR. JENNIFER B LYNCH
Active
Individual
DR. JENNIFER B LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
39587
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000307105
MEDICARE PTAN
WI
05
—
34070000
—
WI
Enumeration date
02/15/2007
Last updated
02/23/2016
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