Individual
MR. LEE NATHAN LYSIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
18111 CUMBERLAND RD, NOBLESVILLE, IN 46060-5650
(317) 417-8689
Mailing address
10752 CHESTNUT HEATH CT, NOBLESVILLE, IN 46060-6117
(317) 417-8689
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001149A
IN
Other
Enumeration date
05/04/2006
Last updated
07/18/2024
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