Provider Demographics
NPI:1912395435
Name:LMS PHYSICIANS CARE, PC
Entity Type:Organization
Organization Name:LMS PHYSICIANS CARE, PC
Other - Org Name:LIFESTYLE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:DYSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-742-7324
Mailing Address - Street 1:4368 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2918
Mailing Address - Country:US
Mailing Address - Phone:951-742-7324
Mailing Address - Fax:
Practice Address - Street 1:4368 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2918
Practice Address - Country:US
Practice Address - Phone:909-353-1610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty