Tracey Lee Lysander, DDS

Dentist · Poway, CA

Individual Active NPI

NPI number 1306918487

Practice location

15835 Pomerado Rd Ste 403
Poway, CA 92064-2043
Phone
(858) 451-8321
Fax
(858) 451-8302

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NPI record

NPI
1306918487
Entity type
Individual (Type 1)
Enumeration date
November 14, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 32580 CA

About Dr. Lysander

Tracey Lee Lysander, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 15835 Pomerado Rd Ste 403, Poway, CA 92064-2043. The NPI number 1306918487 was assigned on November 14, 2006 and the record was last updated on July 8, 2007.

Dr. Lysander lists a license in the registry: #32580 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracey Lee Lysander, DDS?

The NPI number is 1306918487.

What is the phone number of Dr. Lysander?

The phone number listed for the practice location is (858) 451-8321.

Where is Dr. Lysander located?

15835 Pomerado Rd Ste 403, Poway, CA 92064-2043.

What is the taxonomy code for Dr. Lysander?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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