Provider Demographics
NPI:1447124623
Name:LYNCH, THOMAS J III
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:LYNCH
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10781 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43115-7506
Mailing Address - Country:US
Mailing Address - Phone:740-993-9325
Mailing Address - Fax:
Practice Address - Street 1:10781 6TH ST
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:OH
Practice Address - Zip Code:43115-7506
Practice Address - Country:US
Practice Address - Phone:740-993-9325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.451897163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse