# IKNA KRYSIAK DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528772860
- **Authorized official:** IKNA KRYSIAK DO (OWNER)
- **Authorized official phone:** (312) 860-8447

## Contact information

- **Practice address:** 3001 NW 49TH AVE STE 303, LAUDERDALE LAKES, FL 33313-7263
- **Practice address phone:** (954) 714-0684
- **Practice address fax:** (954) 714-4993
- **Mailing address:** 3001 NW 49TH AVE STE 303, LAUDERDALE LAKES, FL 33313-7263
- **Mailing address phone:** (954) 714-0684
- **Mailing address fax:** (954) 714-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2023
- **Last updated:** 01/11/2023