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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TATYANA LYSENKO

Active Sole Proprietor

TATYANA LYSENKO is a Dentist healthcare provider located in MOUNT LAUREL, New Jersey. NPI 1093056194 is currently active in the NPPES registry. Verify at CMS.

Dentist · MOUNT LAUREL, NJ

Registration Details

NPI Number
1093056194
Provider Type
Individual
Gender
Female
NPI Issued
Mar 14, 2013 (13.456472194171 yrs)
Last Updated
Sep 28, 2015
License
22DI01901700 (NJ)
Sole Proprietor
Yes

Practice Information

Address
3201 ROUTE 38
SUITE 102
MOUNT LAUREL, NJ, 080549721
Browse NJ providers · Browse ZIP 08054
Phone
8567220333
Fax
8564376101
Primary Specialty
Dentist
122300000X

Other Dentist Providers in MOUNT LAUREL, NJ

Name Credential NPI
DR. EDWARD BARRY BESKIN DDS 1558422378
DR. ERIKA JOHNSTON BECKER DMD 1720265309
DR. SHANNI L. REINE-MUTCH DDS 1639325491
DR. BYONG JIN KIM D.M.D. 1033457254
BERNARD KUREK 1770825192
HANNAH YOON D.M.D. 1609204874
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.