Provider Demographics
NPI:1356695522
Name:LYNCH, MICHELE (MD MPH)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1647 PICKERINGTON RD
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:OH
Mailing Address - Zip Code:43112-9791
Mailing Address - Country:US
Mailing Address - Phone:740-438-3155
Mailing Address - Fax:
Practice Address - Street 1:1647 PICKERINGTON RD
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:OH
Practice Address - Zip Code:43112-9791
Practice Address - Country:US
Practice Address - Phone:740-438-3155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS13586208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice