Individual
MRS. LISA MARIE LYSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10010 FALLS OF NEUSE RD STE 15, RALEIGH, NC 27614-8495
(919) 350-1508
(919) 350-1475
Mailing address
10010 FALLS OF NEUSE RD STE 15, RALEIGH, NC 27614-8495
(919) 350-1508
(919) 350-1475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4469
NC
Other
Enumeration date
11/26/2013
Last updated
12/05/2013
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