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Mrs. Larisa Anatolyevna Lysak
Family Nurse Practitioner in North Highlands, California
NPI 1700967908

Larisa Anatolyevna Lysak is a Family Nurse Practitioner based in Sacramento, CA and is specialized in Family. Larisa Anatolyevna Lysak practices in North Highlands, CA. The NPI Number for Larisa Anatolyevna Lysak is 1700967908 and holds a License No. 16740 (California).

The current practice location address for Larisa Anatolyevna Lysak is 4815 Watt Ave, North Highlands, CA and can be reached out via phone at 855-354-2242.

Location: 4815 Watt Ave, North Highlands, CA, 95825-1098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700967908
Provider Name
Larisa Anatolyevna Lysak
Credential
Provider Entity Type
Individual
Gender
Female
Address
4815 Watt Ave, North Highlands, CA, 95825-1098
Phone Number
855-354-2242
Fax Number
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4815 Watt Ave
City
North Highlands
State
California
Zip
95660-5108
Phone Number
855-354-2242
Fax Number
person
Provider Business Mailing Address Details
Address
4815 Watt Ave
City
North Highlands
State
California
Zip
95660-5108
Phone Number
855-354-2242
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
16740 (California)
Definition
Definition to come...
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