| Joan A Lynch, MD | |
|
1001 20th St, Huntington, WV 25703-2019 | |
| (304) 529-6100 | |
| (304) 529-0229 |
| Full Name | Joan A Lynch |
|---|---|
| Gender | Female |
| Speciality | Allergy & Immunology - Allergy |
| Location | 1001 20th St, Huntington, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184734758 | NPI | - | NPPES |
| 29316 | Other | KY | LISENSE NUMBER |
| 65930083 | Medicaid | KY | |
| 64698772 | Medicaid | KY | |
| 0044083000 | Medicaid | WV | |
| 16260 | Other | WV | LISENSE NUMBER |
| LO874442 | Medicaid | OH | |
| 0011693000 | Medicaid | WV | |
| L0968403 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | 29316 (Kentucky) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | 16260 (West Virginia) | Primary |
| Entity Name | Tri-state Allergy, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902906019 PECOS PAC ID: 1557355476 Enrollment ID: O20040417000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Joan A Lynch, MD 216 Seneca Rd, Huntington, WV 25705-4130 Ph: (304) 529-6100 | Joan A Lynch, MD 1001 20th St, Huntington, WV 25703-2019 Ph: (304) 529-6100 |
Dr. Larry Lynn Hagan, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1001 20th St, Huntington, WV 25703 Phone: 304-529-6100 Fax: 304-529-0229 | |
Mr. Matthew C Wilson, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1001 20th St, Huntington, WV 25703 Phone: 304-529-6100 Fax: 304-529-0229 |