Individual
DR. LISA ELLEN CYZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD OTRL
Contact information
Practice address
6401 CARMEL RD, SUITE 101, CHARLOTTE, NC 28226-8279
(704) 542-9473
(704) 752-4348
Mailing address
6401 CARMEL RD, SUITE 101, CHARLOTTE, NC 28226-8279
(704) 542-9473
(704) 752-4348
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4095
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301945
—
NC
Enumeration date
11/29/2006
Last updated
07/09/2007
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