Provider Demographics
NPI:1144429580
Name:CURRY, LYSA LEE (MD)
Entity Type:Individual
Prefix:
First Name:LYSA
Middle Name:LEE
Last Name:CURRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 29521
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-0521
Mailing Address - Country:US
Mailing Address - Phone:210-392-2964
Mailing Address - Fax:210-651-7321
Practice Address - Street 1:4207 GARDENDALE ST STE 101B
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3142
Practice Address - Country:US
Practice Address - Phone:210-392-2964
Practice Address - Fax:210-651-7321
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7361207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J9357Medicare PIN
TXG02946Medicare UPIN