Individual
MICHAEL ANDREW LYZNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 47907-2117
(765) 494-3245
Mailing address
2149 BRINDLEWOOD DR, PLAINFIELD, IL 60586-7221
(815) 302-0384
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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