Individual
JIM ROBERT LYSNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3032 14TH AVE, MARION, IA 52302-1524
(319) 693-1090
Mailing address
PO BOX 831, MARION, IA 52302-0831
(319) 693-1090
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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