Provider Demographics
NPI:1124818943
Name:PAWLIK, SYDNEY (CLC)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:PAWLIK
Suffix:
Gender:
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1371 LEHR ST
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-8535
Mailing Address - Country:US
Mailing Address - Phone:505-681-1586
Mailing Address - Fax:
Practice Address - Street 1:1371 LEHR ST
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-8535
Practice Address - Country:US
Practice Address - Phone:505-681-1586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK355028174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN