Provider Demographics
NPI:1336288869
Name:LYNCH, LENA MAY
Entity Type:Individual
Prefix:MISS
First Name:LENA
Middle Name:MAY
Last Name:LYNCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W 29TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-3107
Mailing Address - Country:US
Mailing Address - Phone:302-377-3249
Mailing Address - Fax:302-225-2936
Practice Address - Street 1:120 W 29TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-3107
Practice Address - Country:US
Practice Address - Phone:302-377-3249
Practice Address - Fax:302-225-2936
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2006213969163W00000X, 251J00000X, 372500000X, 372600000X, 376K00000X
DE376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered251J00000XAgenciesNursing Care
Not Answered372500000XNursing Service Related ProvidersChore Provider
Not Answered372600000XNursing Service Related ProvidersAdult Companion
Not Answered376K00000XNursing Service Related ProvidersNurse's Aide
Not Answered376J00000XNursing Service Related ProvidersHomemaker