Individual
LYNN LEROY JURACEK
Active
Individual
LYNN LEROY JURACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
30022
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
30022
AZ
207ND0900X
Dermatopathology Physician
30022
AZ
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
30022
AZ
207NP0225X
Pediatric Dermatology Physician
30022
AZ
207NS0135X
Procedural Dermatology Physician
30022
AZ
Other
Enumeration date
09/09/2005
Last updated
05/15/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up