Individual
THOMAS WESTBROOK LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3850 S NATIONAL AVE, SUITE 730, SPRINGFIELD, MO 65807-5287
(417) 269-7500
(417) 269-7502
Mailing address
3850 S NATIONAL AVE, SUITE 730, SPRINGFIELD, MO 65807
(417) 269-7500
(417) 269-7502
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
32414
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18366
BLUE CROSS BLUE SHEILD #
MO
Enumeration date
11/21/2006
Last updated
07/09/2007
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