Provider Demographics
NPI:1659539682
Name:LYNCH, CYNTHIA LYNN (APN)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:LYNN
Last Name:LYNCH
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
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Mailing Address - Street 1:1 CHILDRENS WAY
Mailing Address - Street 2:#653
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-3500
Mailing Address - Country:US
Mailing Address - Phone:501-364-1100
Mailing Address - Fax:501-364-6728
Practice Address - Street 1:1 CHILDRENS WAY
Practice Address - Street 2:#653
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-3500
Practice Address - Country:US
Practice Address - Phone:501-364-1100
Practice Address - Fax:501-364-6728
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01463 ANP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
5AE19Medicare PIN