Elizabeth G. Lyster, M.D., Inc.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G72094 Issued in CA

Legal business name

ELIZABETH G. LYSTER, M.D., INC.

Practice address

26671 Aliso Creek Rd
Suite 205
Aliso Viejo, CA 92656-4809

Phone

(949) 831-0300

Fax

(949) 831-0339

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Elizabeth G. Lyster, M.D.

Title

Pres

Phone

(949) 500-1351

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1982884706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26671 ALISO CREEK RD",
            "address_2": "SUITE 205",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564809",
            "telephone_number": "949-831-0300",
            "fax_number": "949-831-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26671 ALISO CREEK RD",
            "address_2": "SUITE 205",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564809",
            "telephone_number": "949-831-0300",
            "fax_number": "949-831-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH G. LYSTER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "LYSTER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "949-500-1351",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G72094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Irina Enev

• Gynecology Physician in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.