Mari-Lyn Ellena Lynch, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

321688-31 Issued in WI

Practice address

603 Phoenix St
Delavan, WI 53115-2227

Phone

(262) 749-2103

NPI assigned

Sep 6, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235657685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 PHOENIX ST",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531152227",
            "telephone_number": "262-749-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 PHOENIX ST",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531152227",
            "telephone_number": "262-749-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "MARI-LYN",
        "middle_name": "ELLENA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "321688-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gail Lois, PTA
• Ivy Lopez
• Elizabeth Anne Lucas, RN
• Michael Luckett, C.A.
• Julie R Lynch, DO
• David K Mahon, MD
• Kari Viola Marconnet, MPH, MS-N, RN
• Mercy Health System Corporation
• Mercy Health System Corporation
• Michael Jason Moks, OTR/L

• Licensed Practical Nurse in Delavan, WI
• Providers in Delavan, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.