Individual
KYRIE LIZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.AC., WCMT, MSOM
Contact information
Practice address
1414 E PARADISE DR, WEST BEND, WI 53095-5426
(262) 323-9022
Mailing address
264 MINZ PARK CIR, #2, WEST BEND, WI 53095-5738
(414) 241-6415
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
628-55
WI
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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