# DR. DWIGHT H LYSNE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083679062
- **Gender:** Man
- **Credential:** MD, MDIV

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 200301378 | NC | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 28290 | MN | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 5512 | ND | — |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 09/26/2012