| Carl A. Lyss, Md, Llc | |
| 
					8888 Ladue Rd. Ladue MO 63124  | |
| (314) 725-3799 | |
| (314) 725-3899 | 
| Full Name | Carl A. Lyss, Md, Llc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 8888 Ladue Rd., Ladue, Missouri | 
| Authorized Official Name and Position | Carl A Lyss (OWNER) | 
| Authorized Official Contact | 3147253799 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carl A. Lyss, Md, Llc 8888 Ladue Rd. Ladue MO 63124 Ph: (314) 725-3799  | Carl A. Lyss, Md, Llc 8888 Ladue Rd. Ladue MO 63124 Ph: (314) 725-3799  | 
| NPI Number | 1952530990 | 
|---|---|
| Provider Enumeration Date | 07/13/2009 | 
| Last Update Date | 07/13/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952530990 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary | 
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |