EARL C LYSAKER

WELLINGTON, FL
NPI1104870831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  MEA5381)
Enumeration Date2006-05-19
Last Update Date2007-10-03
Business Address
-- EARL C LYSAKER MD
1397 MEDICAL PARK BLVD. # 340
WELLINGTON, FL 33414
Phone number: 561-795-2008
Mailing Address
-- EARL C LYSAKER MD
5700 LAKE WORTH RD #204
GREENACRES, FL 33463-4727
Phone number: 561-968-7968