Lyman, Justin Stryder

Lyman, Justin Stryder is an individual health care provider with primary practice located at 608 W Mcneese St , Lake Charles LA 70605-5530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Lyman, Justin Stryder can be contacted via phone (337) 477-8757.

Contact Information

Primary practice address
608 W Mcneese St Lake Charles LA 70605-5530
Phone: (337) 477-8757
Fax: (337) 477-8758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD.201804 Louisiana

Profile Details

NPI number 1376540393
LBN Legal business name Lyman, Justin Stryder
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jan 15th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376540393 NPPES
Louisiana MEDICAID 1216895

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