Healthcare Provider Details

I. General information

NPI: 1629157904
Provider Name (Legal Business Name): LINDA KAY LYSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 CANNON
HELENA MT
59601
US

IV. Provider business mailing address

2525 4TH AVENUE NORTH SUITE 201
BILLINGS MT
59101
US

V. Phone/Fax

Practice location:
  • Phone: 406-443-7676
  • Fax: 406-443-2351
Mailing address:
  • Phone: 406-248-3637
  • Fax: 406-254-9330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN25559
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: