Individual
CHRISTIANNE M LYSNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
225 W CAVOUR AVE, FERGUS FALLS, MN 56537-2103
(218) 998-3123
(218) 998-3126
Mailing address
225 W CAVOUR AVE, FERGUS FALLS, MN 56537-2103
(218) 998-3123
(218) 998-3126
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4844
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404118000
—
MN
Enumeration date
05/24/2007
Last updated
05/02/2013
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