Lygrisse, Daniel Richard

Lygrisse, Daniel Richard is an individual health care provider with primary practice located at 104 E Ashland Ave , Mt Zion IL 62549-1271. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lygrisse, Daniel Richard can be contacted via phone (217) 864-2665.

Contact Information

Primary practice address
104 E Ashland Ave Mt Zion IL 62549-1271
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34.013284 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 5101020360 Michigan

Profile Details

NPI number 1518306489
LBN Legal business name Lygrisse, Daniel Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2013
Last updated Jul 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518306489 NPPES
Ohio Other H601150 MEDICARE
Ohio MEDICAID 0282518 MEDICARE

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