Lyster, Mary E
Lyster, Mary E is an individual health care provider with primary practice located at 2000 Diamond Hill Rd Ste 18 , Woonsocket RI 02895-1554. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lyster, Mary E can be contacted via phone (401) 470-7116.Contact Information
Primary practice address
2000 Diamond Hill Rd Ste 18
Woonsocket RI 02895-1554
Phone: (401) 470-7116
Fax: (401) 386-2462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD07115 | Rhode Island |
Profile Details
| NPI number | 1790715654 |
|---|---|
| LBN Legal business name | Lyster, Mary E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Nov 9th, 2021 - about 3 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 | 1790715654 | NPPES |
| Rhode Island | MEDICAID | 7004954 |
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