Provider Demographics
NPI:1013243385
Name:LYNCH, JAMES HUBERT (NP-C)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HUBERT
Last Name:LYNCH
Suffix:
Gender:M
Credentials:NP-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:130 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHORTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14548-9722
Mailing Address - Country:US
Mailing Address - Phone:713-231-3179
Mailing Address - Fax:
Practice Address - Street 1:28 CAYUGA ST
Practice Address - Street 2:
Practice Address - City:SENECA FALLS
Practice Address - State:NY
Practice Address - Zip Code:13148-1417
Practice Address - Country:US
Practice Address - Phone:315-568-4415
Practice Address - Fax:315-568-4332
Is Sole Proprietor?:No
Enumeration Date:2009-10-21
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33 339233363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care