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Organization

LYNETTE SIERACKI, DO PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYNETTE SIERACKI D.O. (PHYSICIAN OWNER)
(954) 733-5991
Entity
Organization

Contact information

Practice address
4900 W OAKLAND PARK BLVD, SUITE 203, LAUDERDALE LAKES, FL 33313-7500
(954) 733-5991
(954) 733-5993
Mailing address
PO BOX 450186, SUNRISE, FL 33345-0186
(954) 733-5991
(954) 733-5993

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME55272
FL

Other

Enumeration date
09/17/2010
Last updated
09/17/2010
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