Individual provider · Type 1 NPI
Lynn Leroy Juracek, MD
MOHS-Micrographic Surgery Physician · Surprise, AZ
Practice location
14239 W Bell Rd, Suite 101
Surprise, AZ 85374-2469
Fax (623) 544-8665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | 30022 (AZ) |
| MOHS-Micrographic Surgery Physician Primary | 207ND0101X | 30022 (AZ) |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | 30022 (AZ) |
| Procedural Dermatology Physician | 207NS0135X | 30022 (AZ) |
| Dermatopathology Physician | 207ND0900X | 30022 (AZ) |
| Pediatric Dermatology Physician | 207NP0225X | 30022 (AZ) |
MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…
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About NPI 1083608699
Lynn Leroy Juracek, MD's National Provider Identifier is 1083608699, issued on Sep 9, 2005. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Surprise, AZ. The record was last updated on May 15, 2013.