Provider Demographics
NPI:1518209600
Name:LYNCH, JANEL MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:JANEL
Middle Name:MARIE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 SAN CLEMENTE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4371
Mailing Address - Country:US
Mailing Address - Phone:408-599-0756
Mailing Address - Fax:
Practice Address - Street 1:1485 GEORGE DIETER DR
Practice Address - Street 2:SUITE 107
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7650
Practice Address - Country:US
Practice Address - Phone:915-790-5707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR0062208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics