Provider Demographics
NPI:1629387337
Name:LYNCH, TAMARA DAWN (DVM)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:DAWN
Last Name:LYNCH
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 WADHAMS RD
Mailing Address - Street 2:
Mailing Address - City:SMITHS CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:48074
Mailing Address - Country:US
Mailing Address - Phone:810-367-6115
Mailing Address - Fax:810-367-3211
Practice Address - Street 1:367 WADHAMS RD
Practice Address - Street 2:
Practice Address - City:SMITHS CREEK
Practice Address - State:MI
Practice Address - Zip Code:48074
Practice Address - Country:US
Practice Address - Phone:810-367-6115
Practice Address - Fax:810-367-3211
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7391174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian