Jonathan Lyskawa

NPI #1376998690 in Pleasant Ridge, Michigan

Provider Information

NPI Number: 1376998690
Entity Type: Individual
Name: Jonathan Lyskawa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Apr 25, 2016
Last Updated: Apr 25, 2016

Practice Location

Address: 64 FAIRWOOD BLVD
City: Pleasant Ridge
State: Michigan
ZIP Code: 48069-1217
Phone: (248) 342-2885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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