Adam Lysak, DDS

NPI #1629569553 in Port Washington, Wisconsin

Provider Information

NPI Number: 1629569553
Entity Type: Individual
Name: Adam Lysak, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DDS
Enumeration Date: May 26, 2018
Last Updated: May 26, 2018

Practice Location

Address: 457 W GRAND AVE
City: Port Washington
State: Wisconsin
ZIP Code: 53074-2143
Phone: (262) 284-9011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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