Provider Demographics
NPI:1942810189
Name:SYTEK, LAUREN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:SYTEK
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1132 W CHISHOLM ST STE A
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-1605
Mailing Address - Country:US
Mailing Address - Phone:989-340-0671
Mailing Address - Fax:
Practice Address - Street 1:1132 W CHISHOLM ST STE A
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-1605
Practice Address - Country:US
Practice Address - Phone:989-340-0671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-03
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901022345SCA200A21223X0400X
MI2901022345122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics