Individual
MS. SUSAN H LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
381 HOPMEADOW ST, WEATOGUE, CT 06089-9692
(860) 651-1669
(860) 658-4961
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
003277
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500002348
MEDICARE ID
CT
Enumeration date
10/02/2006
Last updated
07/02/2012
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