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Individual

ROBERT LYSTRUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2260 N ROSEMONT BLVD, TUCSON, AZ 85712-2137
(520) 318-1033
(520) 318-1338
Mailing address
5055 E BROADWAY BLVD STE A100, TUCSON, AZ 85711-3629
(520) 327-0460

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
58675
AZ
207Q00000X
Family Medicine Physician
LL2644
NV
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
58675
AZ

Other

Enumeration date
07/10/2015
Last updated
02/08/2024
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