Individual
LISA NIZIOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1000 LITTON LN, BLACKSBURG, VA 24060-6399
(540) 443-3437
Mailing address
215 JOHN LEMLEY LN, CHRISTIANSBURG, VA 24073
(517) 974-2493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008989
VA
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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