Lynn M. Sikorski, D.O., P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101009963 Issued in MI

Legal business name

LYNN M. SIKORSKI, D.O., P.C.

Practice address

1900 S Telegraph Rd
Suite 100
Bloomfield Hills, MI 48302-0238

Phone

(248) 338-6400

Fax

(248) 338-2920

NPI assigned

Mar 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lynn Marie Sikorski, D.O.

Title

President

Phone

(248) 338-6400

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1891815536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82154",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483082154",
            "telephone_number": "248-338-6400",
            "fax_number": "248-338-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020238",
            "telephone_number": "248-338-6400",
            "fax_number": "248-338-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN M. SIKORSKI, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "SIKORSKI",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-338-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101009963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3319129",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "5101009963",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IND. PIN",
            "identifier": "0156301155",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK PROVIDE",
            "identifier": "5630115",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.