Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Earl C Lysaker, MD

Individual provider Internal Medicine Physician · NPI 1104870831

Earl C Lysaker, MD is an Internal Medicine Physician in Wellington, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1397 Medical Park Blvd # 340
Wellington, FL 33414
Phone: (561) 795-2008
Fax: (561) 795-4214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MEA5381 (FL)

Record details

NPI number1104870831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESOctober 3, 2007
Mailing address5700 Lake Worth Rd, 204, Greenacres, FL 33463-4727

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