Individual
LISA ANN LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
1526 WALDEN AVE, SUITE 400, CHEEKTOWAGA, NY 14225-4985
(716) 895-7167
(716) 896-0318
Mailing address
1526 WALDEN AVE, SUITE 400, CHEEKTOWAGA, NY 14225-4985
(716) 895-7167
(716) 896-0318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
380479
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
401469
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080129000134
FIDELIS
—
01
—
080407000099
FIDELIS
—
Enumeration date
04/19/2006
Last updated
08/26/2014
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