Provider Demographics
NPI:1043013659
Name:LYNCH, MAGDALEN
Entity type:Individual
Prefix:
First Name:MAGDALEN
Middle Name:
Last Name:LYNCH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 FLORENTINE CIR
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-2127
Mailing Address - Country:US
Mailing Address - Phone:607-759-0049
Mailing Address - Fax:
Practice Address - Street 1:14 FLORENTINE CIR
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-2127
Practice Address - Country:US
Practice Address - Phone:607-759-0049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program