| NPI | 1477116291 |
|---|---|
| Former Name | LEE ANN LYCZKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 024370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704323763) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2022-11-14 |