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Dr. Lynn M. Cieslak

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NPI Number Detailed Information

Provider Information:

Name: Dr. Lynn M. Cieslak
Gender: F
Provider License Number If Given: 206530

NPI Information:

NPI: 1518951011
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 6041 CORINNE LN
Clarence Center, NY 14032
Phone Number: 7164817384
Fax Number:

Provider Business Practice Location Address:

Address: 1540 MAPLE RD
Williamsville, NY 14221
Phone Number: 7164817384
Fax Number:

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any):
State: NY

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