MS. Lisa Marie Wisel, MS,ADTR-LCAT
NPI #1265643860 in Long Beach, New York
Provider Information
- NPI Number
- 1265643860
- Entity Type
- Individual
- Name
- MS. Lisa Marie Wisel, MS,ADTR-LCAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- MS,ADTR-LCAT
- Enumeration Date
- May 24, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 410 E BROADWAY
- Address 2
- NUMBER 2T
- City
- Long Beach
- State
- New York
- ZIP Code
- 11561-4446
- Phone
- (516) 431-8788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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