Douglas Lyssy MD/MBA

NPI 1659515617 - Emergency Medicine - 207P00000X

NPI Details
NPI 1659515617
Gender Male
Enumeration Date 04/21/2009
Last Updated 11/14/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
2020 59TH ST W
BRADENTON FL, 34209-4604, US
Phone (941) 792-6611
Fax
Business Location
5930 GULF OF MEXICO DR
LONGBOAT KEY FL, 34228-1704, US
Phone (203) 804-8894
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Florida
License Number ME110142
Remove 1659515617 NPI Number
 

According to our database, Dr. Douglas Lyssy MD/MBA NPI is 1659515617, taxonomy code is 207P00000X and license number is ME110142, license state is located at Florida. Douglas Lyssy MD/MBA physically located at 2020 59th St W, Bradenton FL, 34209-4604. NPI Number Douglas Lyssy MD/MBA has the Individual type.

Sponsored links

1659515617 NPI number is provided on an as is basis without warranty of any kind. 1659515617 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas Lyssy MD/MBA are for informational purposes only.