Provider Demographics
NPI:1215728720
Name:LYNCH, WILLIAM DEAN
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DEAN
Last Name:LYNCH
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:MO
Mailing Address - Zip Code:65672-4872
Mailing Address - Country:US
Mailing Address - Phone:417-425-7119
Mailing Address - Fax:
Practice Address - Street 1:190 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:MO
Practice Address - Zip Code:65672-4872
Practice Address - Country:US
Practice Address - Phone:417-425-7119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program