Lynn Leroy Juracek in Surprise - Dermatology
Lynn Leroy Juracek - NPI 1083608699
Lynn Leroy Juracek is a Dermatology in Surprise, Arizona. Lynn Leroy Juracek practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Lynn Leroy Juracek is 1083608699. The last update date is 2013-05-15.
Lynn Leroy Juracek's current location address is 14239 W Bell Rd, Surprise, Arizona. You can contact this provider via phone number 6235447755 and fax number 6235448665. The mailing address for Lynn Leroy Juracek is 14239 W Bell Rd, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynn Leroy Juracek |
|---|---|
| Address | 14239 W Bell Rd, Surprise, Arizona |
| Phone Number | 6235447755 |
| Fax Number | 6235448665 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083608699 |
|---|---|
| Provider Enumeration Date | 2005-09-09 |
| Last Updated Date | 2013-05-15 |
Provider Mailing Address Detail
| Address | 14239 W Bell Rd |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853742469 |
| Phone Number | 6235447755 |
| Fax Number | 6235448665 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 30022 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the Lynn Leroy Juracek's unique identification number?
The Lynn Leroy Juracek has been assigned the NPI (National Provider Identifier) Number 1083608699 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Lynn Leroy Juracek's physical address?
The Lynn Leroy Juracek is physically located at 14239 W Bell Rd, in the city of Surprise, AZ, with the postal code 853742469.
What is Lynn Leroy Juracek's area of expertise and its corresponding taxonomy classification?
The Lynn Leroy Juracek's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lynn Leroy Juracek receive the assignment of its 1083608699 from the Centers for Medicare & Medicaid Services?
The Lynn Leroy Juracek was issued its 1083608699 by the Centers for Medicare & Medicaid Services on 2005-09-09.
When was the information regarding Lynn Leroy Juracek, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lynn Leroy Juracek, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-05-15.