DR. Matthew Lysne, M.D.

NPI #1730244542 in Lewiston, Idaho

Provider Information

NPI Number: 1730244542
Entity Type: Individual
Name: DR. Matthew Lysne, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Dec 22, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 415 6TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2431
Phone: (208) 743-2511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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