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Contact Information

LYDIA SIRUCEK, APRN, CNP
8611 E POINT DOUGLAS RD
COTTAGE GROVE, MN55016
 Phone: 651-458-1884
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LYDIA SIRUCEK · (Female)

NPI Number 1235532771
Status Active
Credentials APRN, CNP
Entity Individual
Enumeration date 09/29/2014
Last updated 11/10/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2096
  • MN License # CNP2096
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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