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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376540393 | NPPES |
Louisiana | MEDICAID | 1216895 |
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