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Individual

DR. DOUGLAS LYSSY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD/MBA

Contact information

Practice address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 984-2341
Mailing address
5930 GULF OF MEXICO DR, LONGBOAT KEY, FL 34228-1704
(203) 804-8894

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46135
IA
207P00000X
Emergency Medicine Physician
ME110142
FL

Other

Enumeration date
04/21/2009
Last updated
09/24/2024
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