NPI 1003332560
Max Faubert Lysius, LPN
Practice location
- Address
- 6303 Yulewood Cir, Cicero, NY 13039-9251
- Phone
- (315) 885-0550
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1003332560
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Aug 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.