Individual
LYNNE R. MIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4463 STONERIDGE DR STE A, PLEASANTON, CA 94588-8402
(925) 846-6300
(925) 846-6323
Mailing address
4463 STONERIDGE DR STE A, PLEASANTON, CA 94588-8402
(925) 846-6300
(925) 846-6323
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
G59017
CA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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