Active NPI
Dawn Lysne, MD
- Family Medicine Physician
- Wilmington, NC
National Provider Identifier
1831571447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28549
- Practice address
- 20 S 16TH St
Wilmington, NC 28401-4924 - Phone
- (910) 399-3927
- Fax
- (910) 399-3927
- NPI assigned
- Jun 19, 2015
- Last updated
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28549 | MN | Primary |
Addresses
Primary practice location
20 S 16TH St
Wilmington, NC 28401-4924
Mailing address
20 S 16TH St
Wilmington, NC 28401-4924
Phone (910) 399-3927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28549 | MN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1831571447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 S 16TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284014924",
"telephone_number": "910-399-3927",
"fax_number": "910-399-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S 16TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284014924",
"telephone_number": "910-399-3927",
"fax_number": "910-399-3927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYSNE",
"first_name": "DAWN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "28549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.