Individual
CAROL JOANNE LYSKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18302 IRVINE BLVD, STE-300, TUSTIN, CA 92780-3435
(714) 881-8600
Mailing address
18302 IRVINE BLVD, STE-300, TUSTIN, CA 92780-3435
(714) 881-8600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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