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DR. DWIGHT H LYSNE MD MDIV NPI 1083679062


NPI Information

NPI: 1083679062
Provider Name: DR. DWIGHT H LYSNE, MD, MDIV
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
20 S 16TH ST
WILMINGTON, NC
ZIP 28401
Phone: (877) 456-6729
Get Directions

DR. Dwight H Lysne, MD, MDIV is a child and adolescent psychiatry psychiatry neurology in Wilmington, NC. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Dwight H Lysne, MD, MDIV NPI is 1083679062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20 S 16TH ST
WILMINGTON, NC
ZIP 28401-924
Phone: (877) 456-6729
Fax: (910) 399-3928

The NPI 1083679062 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 9/26/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry5512NORTH DAKOTANo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry28290MINNESOTANo
32084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry200301378NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1260045000OTHERRAILROAD MEDICARE
215992MEDICAIDNORTH DAKOTA
319977OTHERNORTH DAKOTANDBCBS
419977MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTA
594D78LYOTHERMINNESOTAMNBC/BS
6D26100MEDICARE UPINNORTH DAKOTA
7891378JMEDICAIDNORTH CAROLINA
8937078100MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.