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Individual
ROBERT LYSTRUP
Active
Individual
ROBERT LYSTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
58675
AZ
207Q00000X
Family Medicine Physician
LL2644
NV
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
58675
AZ
Other
Enumeration date
07/10/2015
Last updated
06/25/2026
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