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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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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