Dwight Howard Lysne (NPI# 1083679062, PAC ID# 1759276082) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1083679062 |
PAC ID by PECOS | 1759276082 |
Professional Enrollment ID | I20040621001458 |
Full Name | Dwight Howard Lysne |
Address |
20 S 16th St Wilmington NC 28401-4924 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
Graduation Year | 1982 |
Primary Specialty | PSYCHIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
340021 | CAROLINAS HEALTHCARE SYSTEM CLEVELAND |
Address | Phone | Organization |
---|---|---|
419 L St, Anchorage, AK 99501-1924 | ||
20 S 16th St, Wilmington, NC 28401-4924 |
Street Address |
20 S 16TH ST |
City | WILMINGTON |
State | NC |
Zip | 28401-4924 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy E Messier | Family Medicine | Carolina Healthcare Associates Inc | 510 Carolina Bay Dr, Suite 110, Wilmington, NC 28401-2043 |
Dawn Marie Thornton | Internal Medicine | Carolina Healthcare Associates Inc | 510 Carolina Bay Dr, Suite 110, Wilmington, NC 28401-2043 |
Erin D Williamson | Nurse Practitioner | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
Eileen F Hubler | Nurse Practitioner | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
Heather Howard | Clinical Social Worker | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
Tammy Lynn Gland Cercone | Clinical Social Worker | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
Jordan E Gibble | Nurse Practitioner | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
Laura Rosenthall Schultz | Certified Nurse Midwife (cnm) | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
Saka A Salami | Psychiatry | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
Shalane Beth Moore | Nurse Practitioner | New Hanover Community Health Center, Inc | 925 N 4th St, Wilmington, NC 28401-3450 |
Find all physicians in zip 28401 |
City | WILMINGTON |
Zip Code | 28401 |
Specialty | PSYCHIATRY |
City + Specialty | WILMINGTON + PSYCHIATRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.