Provider Demographics
NPI:1750651998
Name:RPGERS LYNCH, KAREN SUSAN (RN)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SUSAN
Last Name:RPGERS 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 1:255 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:MATTAPAN
Mailing Address - State:MA
Mailing Address - Zip Code:02126-2729
Mailing Address - Country:US
Mailing Address - Phone:617-534-2050
Mailing Address - Fax:617-534-2059
Practice Address - Street 1:255 RIVER ST
Practice Address - Street 2:
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-2729
Practice Address - Country:US
Practice Address - Phone:617-534-2050
Practice Address - Fax:617-534-2059
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA161251163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics