DR. Michael Lysonski, DDS
NPI #1215354600 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1215354600
- Entity Type
- Individual
- Name
- DR. Michael Lysonski, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Mar 24, 2014
- Last Updated
- Oct 22, 2014
Practice Location
- Address
- 11800 CANYONLANDS PL SE
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87123-5734
- Phone
- (262) 391-6179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist |
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