Individual
MARIO LYSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 SARGENT STREET, ROUTE 9, BELCHERTOWN, MA 01007-9881
(413) 323-7212
(413) 967-2524
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
246152
MA
Other
Enumeration date
10/20/2010
Last updated
07/14/2020
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