Individual
SANDRA CHRISTINE-BOZIK LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12479 S ACCESS RD, PORT CHARLOTTE, FL 33981-6206
(941) 697-3001
Mailing address
1349 CAMBRIDGE DR, VENICE, FL 34293-2852
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9113312
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2020
Last updated
02/18/2021
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