Lysenko, Tatyana

Lysenko, Tatyana is an sole proprietor health care provider with primary practice located at 3201 Route 38 Suite 102, Mount Laurel NJ 08054-9721. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Lysenko, Tatyana can be contacted via phone (856) 722-0333.

Contact Information

Primary practice address
3201 Route 38 Suite 102 Mount Laurel NJ 08054-9721
Phone: (856) 722-0333
Fax: (856) 437-6101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI01901700 New Jersey

Profile Details

NPI number 1093056194
LBN Legal business name Lysenko, Tatyana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2013
Last updated Sep 28th, 2015 - about 9 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.

Request for update

Popular Providers