Thomas Larry Lynch

Individual provider Active NPI Case Manager/Care Coordinator · Thermopolis, WY

NPI 1528291564 · NPPES record last updated Aug 25, 2009

Key facts

NPI
1528291564
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2741 Owl Creek Rd
Thermopolis, WY 82443-9143
Phone
(307) 864-2153
Fax
(307) 864-2408
NPI assigned
Aug 25, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2741 Owl Creek Rd
Thermopolis, WY 82443-9143

Mailing address

PO Box 1292
Thermopolis, WY 82443-1292
Phone (307) 864-2153

Other providers in Thermopolis, WY

All providers in Thermopolis, WY · Case Manager/Care Coordinator in Wyoming

Sources for this page

Verify at the official NPI Registry.