Cyzner, Lisa Ellen

Cyzner, Lisa Ellen is an sole proprietor health care provider with primary practice located at 6401 Carmel Rd Suite 101, Charlotte NC 28226-8279. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Cyzner, Lisa Ellen can be contacted via phone (704) 542-9473.

Contact Information

Primary practice address
6401 Carmel Rd Suite 101 Charlotte NC 28226-8279
Phone: (704) 542-9473
Fax: (704) 752-4348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 4095 North Carolina

Profile Details

NPI number 1316014608
LBN Legal business name Cyzner, Lisa Ellen
Credentials PHD OTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316014608 NPPES
North Carolina MEDICAID 7301945

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