Provider Demographics
NPI:1710169321
Name:LYNCH, LIONEL ALBERT (PA-C)
Entity Type:Individual
Prefix:MR
First Name:LIONEL
Middle Name:ALBERT
Last Name:LYNCH
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3010 LITTLE YORK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77093-3520
Mailing Address - Country:US
Mailing Address - Phone:713-696-9997
Mailing Address - Fax:713-696-9998
Practice Address - Street 1:3010 LITTLE YORK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77093-3520
Practice Address - Country:US
Practice Address - Phone:713-696-9997
Practice Address - Fax:713-696-9998
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA01683363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant