Mary Ann Lysaght, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1040 S Winter St Ste 1022
Adrian, MI 49221-3876

Phone

(517) 263-8905

Fax

(517) 265-8237

NPI assigned

Jun 25, 2008

Last updated

Jun 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lenawee Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1912227570
  NPD (past)
• Lenawee Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1962576983
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1467614107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S WINTER ST STE 1022",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213876",
            "telephone_number": "517-263-8905",
            "fax_number": "517-265-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S WINTER ST STE 1022",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213876",
            "telephone_number": "517-263-8905",
            "fax_number": "517-265-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSAGHT",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Lukas, RPH
• Monica Jane Lutz, PA-C
• Luxottica Retail North America Inc (Sears Optical #C0687)
• Asuncion Q Luz, MD
• Joanne Ly, DDS
• M S Chadha MD PC
• Charity Lynn Mack, OTR
• Maya Renee Taylor Mackey
• Rebecca Janess Maddox, DC
• Magnum Health and Rehab of Adrian LLC (Magnum Care of Adrian)

• Speech-Language Pathologist in Adrian, MI
• Providers in Adrian, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.