Individual provider · NPI-1
Rosanne Lysne
Speech-Language Pathologist, · Wahpeton, ND
NPI number1033523907
StatusActive
Last updated in NPPESJun 18, 2014
Details
- NPI
- 1033523907
- Entity type
- Individual (NPI-1)
- Name
- Rosanne Lysne
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2014
- Last updated
- Jun 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 1328 | ND | Yes |
Practice location
18055 79 1/2 St SeWahpeton, ND 58075-9340
Phone 701-642-3375
Mailing address
18055 79 1/2 St SeWahpeton, ND 58075-9340
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