| Lynette Sieracki, Do Pa | |
|
4900 W Oakland Park Blvd Suite 203 Lauderdale Lakes FL 33313-7500 | |
| (954) 733-5991 | |
| (954) 733-5993 |
| Full Name | Lynette Sieracki, Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4900 W Oakland Park Blvd, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Lynette Sieracki (PHYSICIAN OWNER) |
| Authorized Official Contact | 9547335991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynette Sieracki, Do Pa Po Box 450186 Sunrise FL 33345-0186 Ph: (954) 733-5991 | Lynette Sieracki, Do Pa 4900 W Oakland Park Blvd Suite 203 Lauderdale Lakes FL 33313-7500 Ph: (954) 733-5991 |
| NPI Number | 1568770089 |
|---|---|
| Provider Enumeration Date | 09/17/2010 |
| Last Update Date | 09/17/2010 |
| Medicare PECOS PAC ID | 3577744630 |
|---|---|
| Medicare Enrollment ID | O20110222000959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568770089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME55272 (Florida) | Primary |
| Provider Name | Lynette Sieracki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548283427 PECOS PAC ID: 7911188081 Enrollment ID: I20110228000518 |
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