Individual
DR. TARAS LYSYY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MCH
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-7260
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2024021309
MO
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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