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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 |
