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Individual

LIUDMILA LYSENKO

Active
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Individual

LIUDMILA LYSENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
MD.205320
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06132040
MS
05
2302787
LA
Enumeration date
03/26/2010
Last updated
12/04/2012
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