Organization
OVERLAND MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL LYSS MD (MD)
(314) 862-5044
Entity
Organization
Contact information
Practice address
8888 LADUE RD, SAINT LOUIS, MO 63124-2056
(314) 862-5044
Mailing address
8888 LADUE RD, SAINT LOUIS, MO 63124-2056
(314) 862-5044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27304
MO
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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