Provider Demographics
NPI:1952370553
Name:LYNCH, JANE M
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:M
Last Name:LYNCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 N COALTER ST
Mailing Address - Street 2:SUITE 19
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-2551
Mailing Address - Country:US
Mailing Address - Phone:540-885-4500
Mailing Address - Fax:540-885-4600
Practice Address - Street 1:1600 N COALTER ST
Practice Address - Street 2:SUITE 19
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-2551
Practice Address - Country:US
Practice Address - Phone:540-885-4500
Practice Address - Fax:540-885-4600
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-228437207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006663S98Medicare ID - Type Unspecified