Individual
MR. MICHAEL LYNCH
Active
Individual
MR. MICHAEL LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
299086-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000495042001
BLUE SHIELD NENY
—
01
—
10002421
CDPHP
—
01
—
299086-1
TRICARE NORTH REGION
—
01
—
33588T
FIDELIS MEDICARE
—
01
—
4123068
MVP
—
01
—
9718309
GHI
—
01
—
R6B62
EMPIRE BLUE CROSS
—
01
—
X00000
AMERICAN PROGRESSIVE TODA
—
Enumeration date
08/01/2005
Last updated
01/26/2011
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