# LYSEIS HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144686395
- **Authorized official:** CARLOS E HIMPLER (PRESIDENT)
- **Authorized official phone:** (225) 303-1055

## Contact information

- **Practice address:** 11477 OLDE CABIN RD STE 210, CREVE COEUR, MO 63141-7129
- **Practice address phone:** (225) 303-1055
- **Practice address fax:** (314) 594-9004
- **Mailing address:** 11477 OLDE CABIN RD STE 210, CREVE COEUR, MO 63141-7129
- **Mailing address phone:** (225) 303-1055
- **Mailing address fax:** (314) 594-9004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 01/04/2016
- **Last updated:** 02/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1295846319 | OTHER | — |