Individual
MICHAEL T LYSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2375 S RIDGEVIEW DR, YUMA, AZ 85364-8868
(928) 317-2518
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036081248
IL
207RH0003X
Hematology & Oncology Physician
Primary
42959
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081248
—
IL
05
—
505784
—
AZ
Enumeration date
10/20/2005
Last updated
11/27/2024
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