Individual
MRS. ANDREA ANN LYSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
10121 PINE AVE, TRUCKEE, CA 96161-4856
(530) 587-6011
Mailing address
214 FIR STREET, SHERWOOD PARK, ALBERTA T8A 2-A4
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
606606
CA
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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