Provider Demographics
NPI:1295800134
Name:SUCIU, LYNDA KAY (MS, RN, CS)
Entity type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:KAY
Last Name:SUCIU
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Gender:F
Credentials:MS, RN, CS
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Mailing Address - Street 1:6289 BURNINGTREE DR
Mailing Address - Street 2:
Mailing Address - City:BURTON
Mailing Address - State:MI
Mailing Address - Zip Code:48509-2610
Mailing Address - Country:US
Mailing Address - Phone:810-877-6007
Mailing Address - Fax:810-877-6008
Practice Address - Street 1:6289 BURNINGTREE DR
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48509-2610
Practice Address - Country:US
Practice Address - Phone:810-877-6007
Practice Address - Fax:810-877-6008
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2013-06-20
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Provider Licenses
StateLicense IDTaxonomies
CA311781364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult