NPI 1801106059

Mario Lysse, MD

Practitioner Internal Medicine Physician Belchertown, MA

Practice location

Address: 95 Sargent Street Route 9, Belchertown, MA 01007-9881
Phone: (413) 323-7212
Fax: (413) 967-2524
Mailing address: 280 Chestnut St 2nd Floor, Springfield, MA 01199-1001

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 246152 (MA)

Other Internal Medicine providers in Massachusetts →

Registry record

NPI: 1801106059
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2010
Record last updated: 14 Jul 2020

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.