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Individual

BARLOW ST CLAIR LYNCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
036147923
IL
208800000X
Urology Physician
D30609
MD
208800000X
Urology Physician
Primary
ME136412
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112274100
FL
05
351561300
DC
01
OI025
MEDICARE HF
FL
Enumeration date
12/28/2005
Last updated
11/03/2021
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