LARISA ANATOLYEVNA LYSAK

NORTH HIGHLANDS, CA
NPI1700967908
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  16740)
Enumeration Date2006-10-17
Last Update Date2020-09-16
Business Address
Mrs. LARISA ANATOLYEVNA LYSAK
4815 WATT AVE
NORTH HIGHLANDS, CA 95660-5108
Phone number: 855-354-2242
Mailing Address
Mrs. LARISA ANATOLYEVNA LYSAK
1860 HOWE AVE STE 440
SACRAMENTO, CA 95825-1098
Phone number: 916-569-8484
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