Provider Demographics
NPI:1497961908
Name:LYNCH, CHRISTINE ROSE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ROSE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 SONOMA AVE
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-1401
Mailing Address - Country:US
Mailing Address - Phone:805-685-4850
Mailing Address - Fax:805-968-9942
Practice Address - Street 1:53 SONOMA AVE
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-1401
Practice Address - Country:US
Practice Address - Phone:805-685-4850
Practice Address - Fax:805-968-9942
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA313620163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse