Individual
DURWARD LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
806 S PONDEROSA ST, PAYSON, AZ 85541-5541
(928) 468-8603
(928) 468-8625
Mailing address
PO BOX 2901, PAYSON, AZ 85547-2901
(928) 468-8603
(928) 468-8625
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP5348
AZ
363L00000X
Nurse Practitioner
R31638
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002113
LOVELACE HEALTH/SALUD
NM
01
—
201006124
PRESBYTERIAN HEALTH/SALUD
NM
05
—
332817
—
AZ
01
—
500000924
RAILROAD MEDICARE
—
05
—
96361
—
NM
01
—
NM00BT16
BC/BS
NM
01
—
PROVP14270
MOLINA
NM
Enumeration date
02/02/2006
Last updated
05/08/2014
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