Organization
CARL A. LYSS, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL A LYSS MD (OWNER)
(314) 725-3799
Entity
Organization
Contact information
Practice address
8888 LADUE RD., LADUE, MO 63124
(314) 725-3799
(314) 725-3899
Mailing address
8888 LADUE RD., LADUE, MO 63124
(314) 725-3799
(314) 725-3899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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