Provider Demographics
NPI:1083682694
Name:LYNCH, PATRICK S JR (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:S
Last Name:LYNCH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:601 W 5TH AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2715
Mailing Address - Country:US
Mailing Address - Phone:509-344-2663
Mailing Address - Fax:509-624-9179
Practice Address - Street 1:601 W 5TH AVE STE 400
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2715
Practice Address - Country:US
Practice Address - Phone:509-344-2663
Practice Address - Fax:509-624-9179
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00027710207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA379109600OtherOWCP
MT0035887Medicaid
ID000010000662OtherREGENCE BLUE SHIELD OF ID
WA200040945OtherRR MEDICARE
OR275261Medicaid
WA8164OtherGROUP HEALTH NW
WA8929874OtherCRIME VICTIMS
IDKQ555OtherBLUE CROSS OF ID
ID003792000Medicaid
WA1080LYOtherASURIS NW HEALTH
WA149067OtherDEPT OF LABOR & INDUSTRIE
WA8118457Medicaid
WA200040945OtherRR MEDICARE
WA379109600OtherOWCP
MT0035887Medicaid