LYSTER ARMY HEALTH CLINIC NPI 1174774863

NPI Information

LYSTER ARMY HEALTH CLINIC is a military hospital in Fort Rucker, AL. The provider is a health care facility operated by the Department of Defense. LYSTER ARMY HEALTH CLINIC NPI is 1174774863. The provider is registered as an organization entity type.

The provider's business location address is:

301DUSTOFF AVE
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
ZIP 36362-333
Phone: (334) 255-7755
Fax: (334) 255-7368

The provider's authorized official is Gary Bell .
The authorized official title is C, Rmd and has the following contact phone number (334) 255-7386.

The enumeration date for this NPI number is 10/1/2008 and was last updated on 10/1/2008.

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:

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