Provider Demographics
NPI:1750103891
Name:LYNCH, SHEREE LYNN (MD)
Entity type:Individual
Prefix:
First Name:SHEREE
Middle Name:LYNN
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21208 NASHVILLE ST
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-1450
Mailing Address - Country:US
Mailing Address - Phone:661-977-6441
Mailing Address - Fax:
Practice Address - Street 1:BARRIO LA PISTA, CARRETERA A LA UNAG
Practice Address - Street 2:200 METROS DESPUES DE LA TEXACO EL CRUCE
Practice Address - City:CATACAMAS
Practice Address - State:OLANCHO
Practice Address - Zip Code:16201
Practice Address - Country:HN
Practice Address - Phone:661-977-6441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78235207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine