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Individual

DR. MARC E. LYNCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5365 WALNUT AVE STE P, CHINO, CA 91710-2622
(909) 591-0843
(909) 591-7226
Mailing address
PO BOX 2492, RANCHO CUCAMONGA, CA 91729-2492
(909) 591-0843
(909) 591-7226

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
20A6261
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
20A6261
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00AX62610
CA
05
00AX62611
CA
Enumeration date
06/24/2005
Last updated
06/10/2024
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