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Individual

MRS. REBECCA L LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
12410 E 86TH ST N, OWASSO, OK 74055-2500
(918) 272-0033
(918) 272-0039
Mailing address
PO BOX 218, CHELSEA, OK 74016-0218
(918) 272-0033
(918) 272-0039

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4383
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200343740A
OK
Enumeration date
06/05/2006
Last updated
06/25/2015
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