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Individual
DR. LISA RENE BYSTRY
Active
Individual
DR. LISA RENE BYSTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
051770
CT
207V00000X
Obstetrics & Gynecology Physician
Primary
82005
SC
207VG0400X
Gynecology Physician
051770
CT
Other
Enumeration date
04/28/2008
Last updated
05/20/2020
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