Individual
HEATHER HELAINE LYSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR RM N1183, CHAPEL HILL, NC 27514-4220
(984) 974-0294
Mailing address
101 MANNING DR RM N1183, CHAPEL HILL, NC 27514-4220
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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