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Individual

BRIAN A. LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
315 CRESTWOOD DR, WILLARD, OH 44890-1652
(419) 935-0196
(419) 933-7616
Mailing address
315 CRESTWOOD DR, WILLARD, OH 44890-1652
(419) 935-0196
(419) 933-7616

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.003987RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0105741
OH
Enumeration date
02/17/2014
Last updated
02/14/2020
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