Provider Demographics
NPI:1851386056
Name:LYNCH, EDWARD FRANKLIN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:FRANKLIN
Last Name:LYNCH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12311 PERRY HWY
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8344
Mailing Address - Country:US
Mailing Address - Phone:878-322-4284
Mailing Address - Fax:878-332-4484
Practice Address - Street 1:12311 PERRY HWY
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8344
Practice Address - Country:US
Practice Address - Phone:878-322-4284
Practice Address - Fax:878-332-4484
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD053107L207ZP0102X, 207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018338230004Medicaid
PA0018338230004Medicaid
PA220029523Medicare PIN
OH2468217Medicaid
PA0018338230004Medicaid
PA035182GXGMedicare PIN