MEDICARE: DR. LINDSEY SIERRA LYMAN PHARMD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS42769	FL

General Provider Information

NPI Number	:	1245510965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDSEY SIERRA LYMAN PHARMD.

Provider Business Mailing Address
First Line	:	7605 W 33RD CT
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-5003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7605 W 33RD CT
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-5003
Country	:	US
Telephone Number	:	305-557-6395
Fax Number	:	305-557-6433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2011
Last Update Date	:	08/29/2011

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