Provider Demographics
NPI:1457486359
Name:LYNCH, STEVEN G (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:G
Last Name:LYNCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5115 N DYSART RD STE 202 # 611
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-3036
Mailing Address - Country:US
Mailing Address - Phone:602-503-2400
Mailing Address - Fax:480-539-4685
Practice Address - Street 1:1801 S ALVERNON WAY STE 107
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-5692
Practice Address - Country:US
Practice Address - Phone:520-790-1250
Practice Address - Fax:520-790-3477
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ5870171100000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist