Individual
ALICIA LYSIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, MS
Contact information
Practice address
3125 S SCATTERFIELD RD STE 210, ANDERSON, IN 46013-1804
(765) 298-4311
(765) 298-4312
Mailing address
10752 CHESTNUT HEATH CT, NOBLESVILLE, IN 46060-6117
(317) 417-6217
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001004A
IN
Other
Enumeration date
05/13/2010
Last updated
09/26/2018
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