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Organization
LYSEIS HEALTH, LLC
Active
Organization
LYSEIS HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS E HIMPLER (PRESIDENT)
(225) 303-1055
Entity
Organization
Contact information
Practice address
11477 OLDE CABIN RD STE 210, CREVE COEUR, MO 63141-7129
(225) 303-1055
(314) 594-9004
Mailing address
11477 OLDE CABIN RD STE 210, CREVE COEUR, MO 63141-7129
(225) 303-1055
(314) 594-9004
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295846319
OTHER
—
Enumeration date
01/04/2016
Last updated
02/07/2016
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