Provider Demographics
NPI:1689950768
Name:LYNCH, NEAL MK (PA-C)
Entity type:Individual
Prefix:MR
First Name:NEAL
Middle Name:MK
Last Name:LYNCH
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12600 W COLFAX AVE STE B200
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-3736
Mailing Address - Country:US
Mailing Address - Phone:303-993-1330
Mailing Address - Fax:303-647-3647
Practice Address - Street 1:12600 W COLFAX AVE STE B200
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-3736
Practice Address - Country:US
Practice Address - Phone:303-993-1330
Practice Address - Fax:303-647-3647
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3302363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical