Individual
LEZLEE COLETTE LISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MOT
Contact information
Practice address
19 STOCKER DR, CHARLESTON, SC 29407-7415
(843) 302-6393
Mailing address
19 STOCKER DR, CHARLESTON, SC 29407-7415
(304) 685-1066
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3370
SC
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/21/2006
Last updated
06/24/2019
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