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Individual

DELORES LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1211 GAR HWY, SWANSEA, MA 02777
(508) 674-3800
(508) 675-9745
Mailing address
1211 GAR HWY, SWANSEA, MA 02777
(508) 674-3800
(508) 675-9745

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
21973
MA
225000000X
Orthotic Fitter
CFM00962
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1538411
MA
01
382454
BCBS
MA
01
645163
HARVARD PILGRIM
01
78568
BCBS
RI
05
DS24649
RI
Enumeration date
09/26/2006
Last updated
07/08/2007
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