Dwight H Lysne in Wilmington - Child & Adolescent Psychiatry
Dwight H Lysne - NPI 1083679062
Dwight H Lysne is a Child & Adolescent Psychiatry in Wilmington, North Carolina. Dwight H Lysne practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Dwight H Lysne is 1083679062. The last update date is 2012-09-26.
Dwight H Lysne's current location address is 7212 Oyster Ln, Wilmington, North Carolina. You can contact this provider via phone number 9104651935 and fax number 9103993928. The mailing address for Dwight H Lysne is 7212 Oyster Ln, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwight H Lysne |
|---|---|
| Address | 7212 Oyster Ln, Wilmington, North Carolina |
| Phone Number | 9104651935 |
| Fax Number | 9103993928 |
| Sole Proprietor | N |
| Credentials | MD, MDIV |
NPI Number Detail
| NPI Number | 1083679062 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2012-09-26 |
Provider Mailing Address Detail
| Address | 7212 Oyster Ln |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284117132 |
| Phone Number | 9104651935 |
| Fax Number | 9103993928 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 5512 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 94D78LY | MN | MNBC/BS | |
| 15992 | ND | -- | |
| 937078100 | MN | -- | |
| 19977 | ND | NDBCBS | |
| 260045000 | RAILROAD MEDICARE | ||
| 891378J | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dwight H Lysne by the Centers for Medicare & Medicaid Services (CMS)?
The Dwight H Lysne has been assigned the NPI (National Provider Identifier) 1083679062. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Dwight H Lysne located?
The Dwight H Lysne is located at 7212 Oyster Ln, Wilmington, NC 284117132.
What is Dwight H Lysne's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dwight H Lysne is Child & Adolescent Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0804X.
On what date did Dwight H Lysne receive its 1083679062 assignment from the Centers for Medicare & Medicaid Services?
The Dwight H Lysne was assigned its 1083679062 on 2006-04-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Dwight H Lysne last refreshed?
The information related to the Dwight H Lysne, including its address, specialty, and other relevant details, was last updated on 2012-09-26.