Provider Demographics
NPI:1962163212
Name:LYNCH, PAIGE (DC)
Entity type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 S NOVA RD APT 238
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-7350
Mailing Address - Country:US
Mailing Address - Phone:774-273-1061
Mailing Address - Fax:
Practice Address - Street 1:1400 S NOVA RD APT 238
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-7350
Practice Address - Country:US
Practice Address - Phone:774-273-1061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13766111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor