Provider Demographics
NPI:1235296567
Name:JAMES J LYNCH PA
Entity Type:Organization
Organization Name:JAMES J LYNCH PA
Other - Org Name:LIFE CARE HEALTH ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-321-5781
Mailing Address - Street 1:606 BALTIMORE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4026
Mailing Address - Country:US
Mailing Address - Phone:410-321-5781
Mailing Address - Fax:410-296-0260
Practice Address - Street 1:606 BALTIMORE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4026
Practice Address - Country:US
Practice Address - Phone:410-321-5781
Practice Address - Fax:410-296-0260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS874OtherBCBS
MDA660OtherBCBS FEDERAL
MDS874OtherBCBS