Individual
DR. HEATHER RENE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2701 N ROCKWELL AVE, BETHANY, OK 73008-5246
(405) 789-4150
(405) 491-0743
Mailing address
2701 N ROCKWELL AVE, BETHANY, OK 73008-5246
(405) 789-4150
(405) 491-0743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20559
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096920A
—
OK
Enumeration date
08/23/2005
Last updated
09/21/2018
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