Individual
EDWARD MICHAEL LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2790 GODWIN BLVD STE 100, SUFFOLK, VA 23434-8151
(757) 983-8750
(757) 510-9442
Mailing address
2790 GODWIN BLVD STE 100, SUFFOLK, VA 23434-8151
(757) 983-8750
(757) 510-9442
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0102036852
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02082855
—
NY
01
—
060008736
RAILROAD MEDICARE
VA
05
—
6034594
—
VA
05
—
890547K
—
NC
Enumeration date
04/08/2006
Last updated
08/05/2019
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