Provider Demographics
NPI:1083813521
Name:G. MICHAEL LYNCH, M.D., P.C.
Entity Type:Organization
Organization Name:G. MICHAEL LYNCH, M.D., P.C.
Other - Org Name:FRANKLIN FARM FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-620-5601
Mailing Address - Street 1:3914 CENTREVILLE RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-3289
Mailing Address - Country:US
Mailing Address - Phone:703-620-5601
Mailing Address - Fax:703-796-0618
Practice Address - Street 1:3914 CENTREVILLE RD
Practice Address - Street 2:SUITE 250
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-3289
Practice Address - Country:US
Practice Address - Phone:703-620-5601
Practice Address - Fax:703-796-0618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-14
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG01950Medicare PIN