Provider Demographics
NPI:1558444083
Name:SIKORSKI, LENORE M (MD)
Entity Type:Individual
Prefix:DR
First Name:LENORE
Middle Name:M
Last Name:SIKORSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:25500 RANCHO NIGUEL RD STE 290
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-7306
Mailing Address - Country:US
Mailing Address - Phone:949-448-0487
Mailing Address - Fax:
Practice Address - Street 1:25500 RANCHO NIGUEL RD STE 290
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-7306
Practice Address - Country:US
Practice Address - Phone:949-448-0487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA49424207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF16984Medicare UPIN