Provider Demographics
NPI:1730365099
Name:CURTIS, LYNORA A (DO)
Entity type:Individual
Prefix:DR
First Name:LYNORA
Middle Name:A
Last Name:CURTIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 210816
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33421-0816
Mailing Address - Country:US
Mailing Address - Phone:561-798-2323
Mailing Address - Fax:561-798-2411
Practice Address - Street 1:10817 S JOG RD
Practice Address - Street 2:SUITE 236
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-0911
Practice Address - Country:US
Practice Address - Phone:561-798-2323
Practice Address - Fax:561-798-2411
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS8867207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1558687095Medicare PIN