IndividualActive
Jeffrey Lysdale, D.D.S.
NPI 1083825004 · Dentist · Laughlin, NV
Provider details
- NPI number
- 1083825004
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4186 (NV)
Practice location
2311 S Casino Dr Ste D
Laughlin, NV 89029-1534
Phone: (702) 298-4545
Mailing address
1830 Kirk Drive
Lake Havasu City, AZ 86404
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2008-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.