Individual
LAUREN ELIZABETH LYSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHES
Contact information
Practice address
9469 ERIE RD, PARRISH, FL 34219-6506
(518) 774-1215
Mailing address
9469 ERIE RD, PARRISH, FL 34219-6506
(518) 774-1215
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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