Provider Demographics
NPI:1285355073
Name:LYNCH, RICHARD CHRISTOPHER (PA-C)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:CHRISTOPHER
Last Name:LYNCH
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:60 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1115
Mailing Address - Country:US
Mailing Address - Phone:321-843-5851
Mailing Address - Fax:321-842-1611
Practice Address - Street 1:60 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1115
Practice Address - Country:US
Practice Address - Phone:321-843-5851
Practice Address - Fax:321-842-1611
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2023-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
363AS0400X
FLPA9116536363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical