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1104870831
EARL C LYSAKER
WELLINGTON, FL
NPI
1104870831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL MEA5381)
Enumeration Date
2006-05-19
Last Update Date
2007-10-03
Business Address
-- EARL C LYSAKER MD
1397 MEDICAL PARK BLVD. # 340
WELLINGTON, FL 33414
Phone number: 561-795-2008
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Mailing Address
-- EARL C LYSAKER MD
5700 LAKE WORTH RD #204
GREENACRES, FL 33463-4727
Phone number: 561-968-7968
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