Individual
JERIMIAH LYSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 10TH AVE N, BILLINGS, MT 59101-0703
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
46572
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL-141
CO
Other
Enumeration date
01/30/2007
Last updated
02/22/2022
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