Provider Demographics
NPI:1205184777
Name:KYPRIANOU, LISA MARIE (HCP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:KYPRIANOU
Suffix:
Gender:F
Credentials:HCP
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:MARIE
Other - Last Name:KYPRIANOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HCP
Mailing Address - Street 1:10817 WARWICK BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-3742
Mailing Address - Country:US
Mailing Address - Phone:175-782-5947
Mailing Address - Fax:757-484-7118
Practice Address - Street 1:10817 WARWICK BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-3742
Practice Address - Country:US
Practice Address - Phone:757-825-9477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2101001424237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist