Provider Demographics
NPI:1477977890
Name:LYNCH INTERNAL MEDICINE LLC
Entity Type:Organization
Organization Name:LYNCH INTERNAL MEDICINE LLC
Other - Org Name:LYNCH PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER/ MED ASST
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-638-5339
Mailing Address - Street 1:31 E LEE ST
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3528
Mailing Address - Country:US
Mailing Address - Phone:410-638-5339
Mailing Address - Fax:410-638-8877
Practice Address - Street 1:31 E LEE ST
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3528
Practice Address - Country:US
Practice Address - Phone:410-638-5339
Practice Address - Fax:410-638-8877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD35012207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty