Provider Demographics
NPI:1316213705
Name:LYNCH, MEGAN THERESE (DO)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:THERESE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3881 VALLEY CENTRE DR STE 4D
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2332
Mailing Address - Country:US
Mailing Address - Phone:858-764-3465
Mailing Address - Fax:
Practice Address - Street 1:3881 VALLEY CENTRE DR STE 4D
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2332
Practice Address - Country:US
Practice Address - Phone:858-764-3465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A13924207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology