Individual
PAUL J LYSNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15245 BLUEBIRD ST NW, ANDOVER, MN 55304-3554
(763) 587-4600
(763) 587-4615
Mailing address
15245 BLUEBIRD ST NW, ANDOVER, MN 55304-3554
(763) 587-4600
(763) 587-4615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36180
MN
Other
Enumeration date
02/16/2006
Last updated
07/09/2013
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