Individual
TRAVIS LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 LEA CIR, JACKSON, MS 39204-4338
(601) 955-2595
Mailing address
140 LEA CIR, JACKSON, MS 39204-4338
(601) 955-2595
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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