Provider Demographics
NPI:1447211990
Name:LYNCH, CHRISTOPHER ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ROBERT
Last Name:LYNCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8803 SOUTH 101ST EAST AVENUE
Mailing Address - Street 2:SUITE 255
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5760
Mailing Address - Country:US
Mailing Address - Phone:918-294-6840
Mailing Address - Fax:918-294-6839
Practice Address - Street 1:8803 SOUTH 101ST EAST AVENUE
Practice Address - Street 2:SUITE 255
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5760
Practice Address - Country:US
Practice Address - Phone:918-294-6840
Practice Address - Fax:918-294-6839
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2014-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK29058207RG0100X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200445220AMedicaid
OK200445220AMedicaid
OKOKA105188Medicare PIN