| Doctor Name: | MICHAEL T LYSTER |
| NPI Number: | 1114916350 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 036081248 |
| Business Practice Address: | 101 Civic Center Ln Lake Havasu City, AZ - 864035607 |
| Business Phone Number: | 9284533761 |
| Business Fax Number: | 9284533771 |
| Mailing Address: | 101 Civic Center Ln, LAKE HAVASU CITY |
| State: | AZ |
| Postal Code: | 864035607 |
| Phone Number: | 9284533761 |
| Fax Number: | 9284533771 |
| NPI Enumeration Date: | 10/20/2005 |
| NPI Last Update Date: | 06/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RH0003X |
| License Number: | 036081248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Hematology & Oncology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |