Individual
LAUREN LYSIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, RN
Contact information
Practice address
5795 LEWISTON RD, NIAGARA UNIVERSITY, NY 14109-9809
(716) 286-8390
Mailing address
2458 INDEPENDENCE AVE, NIAGARA FALLS, NY 14301-2438
(716) 243-0639
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
737488-01
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
347952
NY
Other
Enumeration date
01/26/2022
Last updated
10/10/2023
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