Lyste, Derek John

Lyste, Derek John is an individual health care provider with primary practice located at 1380 S Columbia Rd , Grand Forks ND 58201-4059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lyste, Derek John can be contacted via phone (701) 795-2000.

Contact Information

Primary practice address
1380 S Columbia Rd Grand Forks ND 58201-4059
Phone: (701) 795-2000
Fax: (701) 795-2260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11427 North Dakota

Profile Details

NPI number 1174724116
LBN Legal business name Lyste, Derek John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Jun 10th, 2016 - about 9 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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