MR. JOHN ROBORG LYNCH MD NPI 1043251648

NPI Information

NPI: 1043251648
Provider Name: MR. JOHN ROBORG LYNCH, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
9200 W WISCONSIN AVE
DEPARTMENT OF NEUROLOGY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-9236
Get Directions

MR. John Roborg Lynch, MD is a neurology psychiatry neurology in Milwaukee, WI with 30 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MR. John Roborg Lynch, MD NPI is 1043251648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

9200 W WISCONSIN AVE
DEPARTMENT OF NEUROLOGY
MILWAUKEE, WI
ZIP 53226-522
Phone: (414) 805-9236
Fax: (414) 805-5252

The NPI 1043251648 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 7/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	49254	WISCONSIN	No
2	2084N0400X	Psychiatry & Neurology	Neurology	104055	MONTANA	No
3	2084N0400X	Psychiatry & Neurology	Neurology	ME156991	FLORIDA	No
4	2084N0400X	Psychiatry & Neurology	Neurology	13136	SOUTH DAKOTA	No
5	2084N0400X	Psychiatry & Neurology	Neurology	EMC0001512	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1043251648	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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