Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYNNE R. MIELKE, M.D.
Active Sole ProprietorLYNNE R. MIELKE, M.D. is a Neurodevelopmental Disabilities (Psychiatry) healthcare provider located in PLEASANTON, California. NPI 1700985413 is currently active in the NPPES registry. Verify at CMS.
Neurodevelopmental Disabilities (Psychiatry) · PLEASANTON, CA
Registration Details
- NPI Number
- 1700985413
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2006 (19.922178502692 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G59017 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4463 STONERIDGE DR STE APLEASANTON, CA, 945888402Browse CA providers · Browse ZIP 94588
- Phone
- 9258466300
- Fax
- 9258466323
- Primary Specialty
-
Neurodevelopmental Disabilities (Psychiatry)
2084P0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.