Individual
EARL C LYSAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1397 MEDICAL PARK BLVD., # 340, WELLINGTON, FL 33414
(561) 795-2008
(561) 795-4214
Mailing address
5700 LAKE WORTH RD, #204, GREENACRES, FL 33463-4727
(561) 968-7968
(561) 964-4603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MEA5381
FL
Other
Enumeration date
05/19/2006
Last updated
10/03/2007
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