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1225560972
STACEY LYNCH
SHREVEPORT, LA
NPI
1225560972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-03-31
Last Update Date
2019-01-23
Business Address
STACEY LYNCH MD
1501 KINGS HWY SURGERY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6111
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Mailing Address
STACEY LYNCH MD
1501 KINGS HWY SURGERY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6111
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