Tatyana Lysenko

NPI 1093056194 · on the registry since 2013 · sole proprietor

Practice

Address: 3201 Route 38
Suite 102
Mount Laurel, NJ 08054
Phone: (856) 722-0333
Fax: (856) 437-6101
Organisation at this address: Khsr Enterprises Llc
I Am Unique A Self Restoration Workshop
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey