Individual
LYSE STUART STRNAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25445
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242727
—
IA
01
—
180022817
RAILROAD MEDICARE
IA
01
—
24272
BLUE CROSS BLUE SHIELD
IA
01
—
42144513502
JOHN DEERE HEALTH
IA
Enumeration date
07/07/2005
Last updated
02/02/2012
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