Individual
JANE E LYSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
509 BILTMORE AVE, PATHOLOGY DEPT, ASHEVILLE, NC 28801
(828) 253-0763
(828) 254-4892
Mailing address
PO BOX 419, SYLVA, NC 28779-0419
(828) 366-1150
(828) 586-8209
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26452
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220029825
RAILROAD MEDICARE
NC
01
—
53598
BCBS NC
NC
05
—
8953598
—
NC
Enumeration date
04/24/2006
Last updated
05/01/2015
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