Provider Demographics
NPI:1306887658
Name:LYNCH, DAVID A (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:LYNCH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:709 W ORCHARD DR
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1766
Mailing Address - Country:US
Mailing Address - Phone:360-318-8800
Mailing Address - Fax:360-318-1085
Practice Address - Street 1:3130 SQUALICUM PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1940
Practice Address - Country:US
Practice Address - Phone:360-756-0382
Practice Address - Fax:360-756-5184
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2012-07-24
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Provider Licenses
StateLicense IDTaxonomies
WAMD00015323207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0130083OtherLABOR & INDUSTRIES (REG)
WA423898023OtherGROUP HEALTH COOPERATIVE
WA1059203Medicaid
WA080148058OtherRAILROAD MEDICARE
WA02921OtherREGENCE BLUESHIELD
WA8925037OtherLABOR & INDUSTRIES (CV)
WA0130083OtherLABOR & INDUSTRIES (REG)
WA1059203Medicaid