Whalio Doctors

NPI 1083608699

Lynn Leroy Juracek, MD

Practitioner MOHS-Micrographic Surgery Physician Surprise, AZ

Practice location

Address
14239 W Bell Rd Suite 101, Surprise, AZ 85374-2469
Phone
(623) 544-7755
Fax
(623) 544-8665

Registered specialties (6)

MOHS-Micrographic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 30022 (AZ)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 30022 (AZ)
Clinical & Laboratory Dermatological Immunology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NI0002X Licence 30022 (AZ)
Procedural Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 30022 (AZ)
Dermatopathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence 30022 (AZ)
Pediatric Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence 30022 (AZ)

Registry record

NPI
1083608699
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Sep 2005
Record last updated
15 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.