Individual
DR. MARK CARL LYSNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
225 W CAVOUR AVE, FERGUS FALLS, MN 56537-2103
(218) 998-3123
(218) 998-3126
Mailing address
225 W CAVOUR AVE, P.O. BOX 713, FERGUS FALLS, MN 56537-2103
(218) 998-3123
(218) 998-3126
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4575
MN
Other
Enumeration date
10/10/2006
Last updated
05/02/2013
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