Dr Jeffrey Lysdale, DDS is a
Dentist based in Laughlin, Nevada. Dr Jeffrey Lysdale is licensed to practice in Nevada (license number 4186) and his current practice location is
2311 S Casino Dr Ste D, Laughlin, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 298-4545.
NPI number for Dr Jeffrey Lysdale is 1083825004 and his current mailing address is 1830 Kirk Drive, Lake Havasu City, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083825004.
Healthcare Provider's Profile
Full Name | Dr Jeffrey Lysdale |
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Gender | Male |
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Speciality | Dentist |
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Location | 2311 S Casino Dr Ste D, Laughlin, Nevada |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083825004
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 08/20/2008
Medical Identifiers
Medical identifiers for Dr Jeffrey Lysdale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083825004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 4186 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeffrey Lysdale is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jeffrey Lysdale, DDS 1830 Kirk Drive, Lake Havasu City, AZ 86404 Ph: (949) 351-7343 | Dr Jeffrey Lysdale, DDS 2311 S Casino Dr Ste D, Laughlin, NV 89029-1534 Ph: (702) 298-4545 |
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