Provider Demographics
NPI:1083682694
Name:LYNCH, PATRICK S JR (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:S
Last Name:LYNCH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:601 W 5TH AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2715
Mailing Address - Country:US
Mailing Address - Phone:509-344-2663
Mailing Address - Fax:509-624-9179
Practice Address - Street 1:601 W 5TH AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2715
Practice Address - Country:US
Practice Address - Phone:509-344-2663
Practice Address - Fax:509-624-9179
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00027710207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID003792000Medicaid
IDKQ555OtherBLUE CROSS OF ID
WA149067OtherDEPT OF LABOR & INDUSTRIE
WA8164OtherGROUP HEALTH NW
WA1080LYOtherASURIS NW HEALTH
WA8929874OtherCRIME VICTIMS
WA200040945OtherRR MEDICARE
OR275261Medicaid
WA379109600OtherOWCP
WA8118457Medicaid
ID000010000662OtherREGENCE BLUE SHIELD OF ID
MT0035887Medicaid
WA200040945OtherRR MEDICARE
WA379109600OtherOWCP
MT0035887Medicaid