Physician Compare National (NPI:1376540393)

HEALTHCARE PROVIDER: JUSTIN STRYDER LYMAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1376540393
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375674898
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100628000836
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LYMAN
	Individual professional last name
Provider First Name	JUSTIN
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	608 W MCNEESE ST
	Group Practice or individual's line 1 address
City	LAKE CHARLES
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	706055530
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190201
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHRISTUS LAKE AREA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190060
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAKE CHARLES MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	190053
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	JENNINGS AMERICAN LEGION HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y