Lisa M Lynch, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102266 Issued in FL

Practice address

14444 Beach Blvd Ste 28
Jacksonville, FL 32250

Phone

(904) 367-2277

Fax

(904) 421-3788

NPI assigned

Nov 30, 2006

Last updated

Aug 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1699842948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 FORT CAROLINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772044",
            "telephone_number": "904-745-3618",
            "fax_number": "904-722-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14444 BEACH BLVD STE 28",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-367-2277",
            "fax_number": "904-421-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016463200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davene Lynch
• Elizabeth Lynch, RPH
• Gretchen Lynch
• Katherine Lynch, OTR/L
• Lauren S Lynch, PA
• Sarah Lynch, APRN
• Scott Lynch, MD
• Shannon Nicole Lynch
• William James Lynch, M.D.
• Lynda S. Walls, PH.D., Inc.

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.