Individual
MALLORY NICOLE LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
500 CANYON RIDGE DR STE L300, AUSTIN, TX 78753-1650
(512) 837-3200
Mailing address
500 CANYON RIDGE DR STE L300, AUSTIN, TX 78753-1650
(512) 837-3200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14353TLG
CA
152W00000X
Optometrist
Primary
7569T
TX
Other
Enumeration date
07/15/2010
Last updated
03/12/2019
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