Sirucek, Lydia
Sirucek, Lydia is an individual health care provider with primary practice located at 8611 E Point Douglas Rd , Cottage Grove MN 55016. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sirucek, Lydia can be contacted via phone (651) 458-1884.Contact Information
Primary practice address
8611 E Point Douglas Rd
Cottage Grove MN 55016
Phone: (651) 458-1884
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | CNP2096 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2096 | Minnesota |
Profile Details
NPI number | 1235532771 |
---|---|
LBN Legal business name | Sirucek, Lydia |
Credentials | APRN, CNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 29th, 2014 |
Last updated | Nov 10th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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