SearchNew Mexico122300000X

Michael Lysonski, DDS

NPI 1215354600 · on the registry since 2014 · sole proprietor

Practice

Address
11800 Canyonlands Pl Se
Albuquerque, NM 87123
Phone
(262) 391-6179

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
122300000X
Licence states on file
NM, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico