Active NPIIndividual provider

Mario Lysse, MD

Internal Medicine in Belchertown, Massachusetts

NPI Number1801106059
Practice location
95 Sargent Street, Route 9, Belchertown, MA 01007-9881
Fax
413-967-2524
Last updated
July 14, 2020

Mario Lysse is an Internal Medicine based in Belchertown, MA. Mario Lysse practices in Belchertown, MA and has the professional credentials of MD. The NPI Number for Mario Lysse is 1801106059 and holds a License No. 246152 (MA). The current practice location address for Mario Lysse is 95 Sargent Street, Route 9, Belchertown, MA 01007-9881 and can be reached out via phone at 413-323-7212 and via fax at 413-967-2524.

Provider Profile Details

NPI Number
1801106059
Provider Name
Mario Lysse
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
95 Sargent Street, Route 9, Belchertown, MA 01007-9881
Phone Number
413-323-7212
Fax Number
413-967-2524
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2010
Last Update Date
July 14, 2020
Certification Date
July 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Sargent Street
Route 9
Belchertown, MA 01007-9881
Zip
01007-9881
Phone Number
413-323-7212
Fax Number
413-967-2524
Belchertown, MA 01007Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut St
2ND Floor
Springfield, MA 01199-1001
City
Springfield
State
MA
Zip
01199-1001
Phone Number
413-794-5700

License Information

License Number
246152
License State
MA
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mario Lysse, MD?

The NPI number of Mario Lysse, MD is 1801106059. It was assigned on October 20, 2010 and is currently active in the NPPES registry.

What is the specialty of Mario Lysse, MD?

Mario Lysse, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 246152.

Where does Mario Lysse, MD practice?

The practice location is 95 Sargent Street, Route 9, Belchertown, MA 01007-9881. The office can be reached at 413-323-7212 (phone) or 413-967-2524 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801106059 directly on the NPPES registry website.

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