Individual
DR. DANIEL RICHARD LYGRISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6000 N ALLEN RD, PEORIA, IL 61614-3294
(309) 691-1400
Mailing address
6000 N ALLEN RD, PEORIA, IL 61614-3294
(309) 691-1400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34.013284
OH
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
036150334
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282518
—
OH
01
—
H601150
MEDICARE
OH
Enumeration date
06/24/2013
Last updated
06/18/2025
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