Provider Demographics
NPI:1477222420
Name:LYNCH, RACHEL HOPE (LAC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:HOPE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 N BLACKHAWK BLVD APT 1
Mailing Address - Street 2:
Mailing Address - City:ROCKTON
Mailing Address - State:IL
Mailing Address - Zip Code:61072-2432
Mailing Address - Country:US
Mailing Address - Phone:815-218-6368
Mailing Address - Fax:
Practice Address - Street 1:179 HAWICK ST
Practice Address - Street 2:
Practice Address - City:ROCKTON
Practice Address - State:IL
Practice Address - Zip Code:61072-2414
Practice Address - Country:US
Practice Address - Phone:815-218-6368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-12
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.001491171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist