JACKSON LAWRENCE LISOTTA

WINSTON SALEM, NC
NPI1831043330
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC  365263)
Enumeration Date2026-02-23
Last Update Date2026-02-23
Business Address
JACKSON LAWRENCE LISOTTA SRNA
525 VINE ST
WINSTON SALEM, NC 27101-4125
Phone number: 336-716-1411
Mailing Address
JACKSON LAWRENCE LISOTTA SRNA
525 VINE ST
WINSTON SALEM, NC 27101-4125
Phone number: 336-716-1411
Similar providers in Winston Salem, NC
ANDREW YU-ON FONG
BRIDGER HAYES FREEMAN
MARIA EILEEN LENNON
TYLER SCOTT GEORGE
JOHN ROBERT SCHWABE
MEGAN LEE MAGUIRE
MARK ANTHONY PEREZ
ISABELLA CORNEA
SHY'ANN FRAZIER
CAMDEN AUSTIN RICHARDSON