Provider Demographics
NPI:1023355625
Name:LYNCH, CHRISTOPHER C (MT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:C
Last Name:LYNCH
Suffix:
Gender:M
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 HOSPITAL LOOP ROAD
Mailing Address - Street 2:
Mailing Address - City:OWYHEE
Mailing Address - State:NV
Mailing Address - Zip Code:89832
Mailing Address - Country:US
Mailing Address - Phone:775-757-2415
Mailing Address - Fax:775-757-3333
Practice Address - Street 1:1623 HOSPITAL LOOP ROAD
Practice Address - Street 2:
Practice Address - City:OWYHEE
Practice Address - State:NV
Practice Address - Zip Code:89832
Practice Address - Country:US
Practice Address - Phone:775-757-2415
Practice Address - Fax:775-757-3333
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15455TGS-3246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist