Lynch, Renee Theroux

Lynch, Renee Theroux is an individual health care provider with primary practice located at 155 Borthwick Ave Ste 200E , Portsmouth NH 03801-4184. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lynch, Renee Theroux can be contacted via phone (603) 436-1773.

Contact Information

Primary practice address
155 Borthwick Ave Ste 200E Portsmouth NH 03801-4184
Fax: (603) 501-7867
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG003206 Pennsylvania
Eye and Vision Services Providers / Optometrist 152W00000X 0944 New Hampshire

Profile Details

NPI number 1083066005
LBN Legal business name Lynch, Renee Theroux
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2016
Last updated May 11th, 2020 - about 5 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 1083066005 NPPES
New Hampshire MEDICAID 3075455

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