Provider Demographics
NPI:1447632450
Name:LYNCH, STEPHANIE KLEIN (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:KLEIN
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1620 PRINCE AVE
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-6008
Mailing Address - Country:US
Mailing Address - Phone:706-546-0170
Mailing Address - Fax:706-546-5015
Practice Address - Street 1:1620 PRINCE AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-6008
Practice Address - Country:US
Practice Address - Phone:706-546-0170
Practice Address - Fax:706-546-5015
Is Sole Proprietor?:No
Enumeration Date:2015-06-25
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA82775207WX0108X, 207W00000X
IAR-10431207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0108XAllopathic & Osteopathic PhysiciansOphthalmologyUveitis and Ocular Inflammatory Disease