Individual
LISA BIEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1799 KINGS GATE LN, CRYSTAL LAKE, IL 60014-2906
(815) 276-7786
(815) 788-1321
Mailing address
1799 KINGS GATE LN, CRYSTAL LAKE, IL 60014-2906
(815) 276-7786
(815) 788-1321
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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