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Individual

JANE LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
701 S ZARZAMORA, SAN ANTONIO, TX 78207
(210) 358-7591
Mailing address
7703 FLOYD CURL DR, MC7806, SAN ANTONIO, TX 78229-3900
(210) 567-5283
(210) 567-0492

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
H1297
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
170047801
CIDC
TX
05
170047802
TX
Enumeration date
10/03/2006
Last updated
11/03/2011
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