Individual
RYAN MICHAEL LYSNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
601 W 5TH AVE STE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
Mailing address
601 W 5TH AVE STE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60964856
WA
363A00000X
Physician Assistant
TA60987863
WA
Other
Enumeration date
03/05/2019
Last updated
12/06/2024
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