Lynch, Lisa M

Lynch, Lisa M is an sole proprietor health care provider with primary practice located at 44 Godwin Ave Suite 202, Midland Park NJ 07432-1969. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Lynch, Lisa M can be contacted via phone (201) 444-9898.

Contact Information

Primary practice address
44 Godwin Ave Suite 202 Midland Park NJ 07432-1969
Fax: (201) 444-6079
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI101969402 New Jersey

Profile Details

NPI number 1215990650
LBN Legal business name Lynch, Lisa M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2006
Last updated Dec 24th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215990650 NPPES
New York MEDICAID 00244202

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