Individual
DR. CARL A. LYSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8888 LADUE RD STE 210, SUITE 210, SAINT LOUIS, MO 63124-2056
(314) 290-7455
(314) 725-2651
Mailing address
8888 LADUE #210, ST. LOUIS, MO 63124
(314) 290-7455
(314) 725-2651
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26531
MO
Other
Enumeration date
01/18/2006
Last updated
04/18/2013
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