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1730244542
MATTHEW LYSNE
LEWISTON, ID
NPI
1730244542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: ID M5825)
Enumeration Date
2006-12-22
Last Update Date
2007-07-09
Business Address
Dr. MATTHEW LYSNE M.D.
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511
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Mailing Address
Dr. MATTHEW LYSNE M.D.
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511
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