Individual
LISA SUSANNA IZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
11200 GOVERNOR MANLY WAY, RALEIGH, NC 27614-8599
(919) 562-9410
Mailing address
8505 BLUFF POINTE CT, RALEIGH, NC 27615-8101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3209
NC
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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