Individual
DR. CHARLES T LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 WEBSTER ST, SUITE 320, SAN FRANCISCO, CA 94115-2375
(415) 923-3456
(415) 923-3121
Mailing address
2100 WEBSTER ST, SUITE 320, SAN FRANCISCO, CA 94115-2377
(415) 923-3456
(415) 923-3121
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A43429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A434290
BLUE SHIELD PROV NUMBER
CA
05
—
00A434290
—
CA
01
—
200123
BROWN & TOLAND VENDOR #
CA
05
—
5735023
—
CA
01
—
XXXXX 9619 941150000
TRICARE PROVIDER NUMBER
—
Enumeration date
10/18/2006
Last updated
07/29/2022
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