Provider Demographics
NPI:1477587996
Name:LYNCH, LINDA CAROLYN (DPH)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CAROLYN
Last Name:LYNCH
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:CAROLYN
Other - Last Name:PAYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:4303 THOMAS
Mailing Address - Street 2:SUITE 135
Mailing Address - City:FORT SILL
Mailing Address - State:OK
Mailing Address - Zip Code:73503-0326
Mailing Address - Country:US
Mailing Address - Phone:580-353-1131
Mailing Address - Fax:
Practice Address - Street 1:4303 THOMAS
Practice Address - Street 2:SUITE 135
Practice Address - City:FORT SILL
Practice Address - State:OK
Practice Address - Zip Code:73503-0326
Practice Address - Country:US
Practice Address - Phone:580-353-1131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8070183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist