Individual
DR. DANIEL V LYGRISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 N MAIN ST, STE. 300, NEWTON, KS 67114-3400
(316) 282-9614
Mailing address
PO BOX 782674, WICHITA, KS 67278-2674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-19595
KS
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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