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Individual

DR. WILLIAM ALBERT LYNCH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
402 W WASHINGTON ST, CUBA, MO 65453-1217
(573) 885-2323
(573) 885-2643
Mailing address
402 W WASHINGTON ST, CUBA, MO 65453-1217
(573) 885-2323
(573) 885-2643

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02646
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101125
BLUE CROSS BLUE SHIELD
MO
01
10852950
COUN. AFFORD. QUAL. HE CA
MO
01
22-00550
UNITED HEALTH CARE
MO
05
318275906
MO
Enumeration date
06/28/2006
Last updated
04/09/2024
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