Lynch, Stacy L

Lynch, Stacy L is an individual health care provider with primary practice located at 1700 W Paradise Dr , West Bend WI 53095-9795. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Lynch, Stacy L can be contacted via phone (262) 334-3451.

Contact Information

Primary practice address
1700 W Paradise Dr West Bend WI 53095-9795
Phone: (262) 334-3451
Fax: (262) 306-2964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 51189 Wisconsin

Profile Details

NPI number 1346214673
LBN Legal business name Lynch, Stacy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Dec 3rd, 2014 - about 12 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 1346214673 NPPES
Wisconsin MEDICAID 1346214673
Wisconsin MEDICAID 188617700

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