Individual
MS. LISA ANNE LYSNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
410 CENTRAL AVE STE 502, GREAT FALLS, MT 59401-3128
(406) 727-3152
(406) 727-3172
Mailing address
410 CENTRAL AVE STE 502, GREAT FALLS, MT 59401-3128
(406) 727-3152
(406) 727-3172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
471LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0501296
—
MT
Enumeration date
09/03/2006
Last updated
07/09/2007
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