Provider Demographics
NPI:1346608759
Name:LYNCH, CAROLE (RN)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1539 NE 22ND AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-4761
Mailing Address - Country:US
Mailing Address - Phone:352-369-7860
Mailing Address - Fax:352-369-2564
Practice Address - Street 1:1539 NE 22ND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-4761
Practice Address - Country:US
Practice Address - Phone:352-369-7860
Practice Address - Fax:352-369-2564
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9329466163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse