Individual
JUSTIN R LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3475 ERWIN RD, DURHAM, NC 27705-0005
(919) 668-1400
(919) 684-8595
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(800) 782-6945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06663
NC
363A00000X
Physician Assistant
0650
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30336484
—
NH
Enumeration date
07/12/2006
Last updated
09/27/2016
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