Individual
DR. JENNIFER B LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
923 ELIZA ST, GREEN BAY, WI 54301-3234
(920) 445-7226
(920) 445-7229
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
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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