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Individual

DONALD F. LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
130 FISHER RD, MOB-C SUITE 1, BERLIN, VT 05602-9516
(802) 371-4820
(802) 371-4855
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 371-4820
(802) 371-4855

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101021068
VA
208800000X
Urology Physician
Primary
042.0012709
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003392701
MEDICARE PTAN LINKED TO CVMC MGP
VT
05
007501552
VA
05
1021932
VT
01
15971
SENTARA HEALTHCARE
VA
01
331819
ANTHEM BC BS
VA
Enumeration date
01/10/2006
Last updated
09/30/2013
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