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Individual

DR. LYNN MARIE SIKORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101009963
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0156301155
BCBSM INDIVIDUAL PIN
MI
05
3319129
MI
01
44760
BLUE CARE NETWORK PROVID.
MI
Enumeration date
07/19/2005
Last updated
07/06/2010
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