Individual
AMY L LYSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 S KINGS AVE STE 3000, BRANDON, FL 33511-6060
(813) 681-6625
(813) 684-6043
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
44237
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
ME151951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34220500
—
WI
Enumeration date
08/31/2006
Last updated
06/23/2023
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