Provider Demographics
NPI:1528227675
Name:LYNCH, VIRGINIA M (NP)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:M
Last Name:LYNCH
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Gender:F
Credentials:NP
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Mailing Address - Street 1:100 MORRISSEY BLVD
Mailing Address - Street 2:UNIVERSITY OF MASSACHUSETTS
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02048-3393
Mailing Address - Country:US
Mailing Address - Phone:617-287-5660
Mailing Address - Fax:617-287-3977
Practice Address - Street 1:100 MORRISSEY BLVD
Practice Address - Street 2:UNIVERSITY OF MASSACHUSETTS
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-3300
Practice Address - Country:US
Practice Address - Phone:617-287-5660
Practice Address - Fax:617-287-3977
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
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Provider Licenses
StateLicense IDTaxonomies
ME78969363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care