Individual provider · NPI-1
Shaneil Teague Lynch
Technician · Rocky Mount, NC
NPI number1669265591
StatusActive
Last updated in NPPESMay 23, 2025
Details
- NPI
- 1669265591
- Entity type
- Individual (NPI-1)
- Name
- Shaneil Teague Lynch
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2025
- Certification date
- May 13, 2025
- Last updated
- May 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | NC | Yes |
Practice location
3196 Eastern AveuneRocky Mount, NC 27804
Phone 252-813-1473
Mailing address
Po Box 9063Rocky Mount, NC 27804-7063
Phone 252-813-1473
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