Individual
LYNN M. SULANDER LIZAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
7540 N 19TH AVE, PHOENIX, AZ 85021-7967
(888) 873-4221
(888) 543-2289
Mailing address
709 BALLANTYNE LN NE, SPRING LAKE PARK, MN 55432-1957
(763) 792-0498
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201263
MN
Other
Enumeration date
09/09/2007
Last updated
09/09/2007
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