Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Carl Lysne, PHD

Individual provider Clinical Psychologist · NPI 1366530008

Dr. Mark Carl Lysne, PHD is a Clinical Psychologist in Fergus Falls, Minnesota. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

225 W Cavour Ave
Fergus Falls, MN 56537-2103
Phone: (218) 998-3123
Fax: (218) 998-3126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP4575 (MN)

Record details

NPI number1366530008
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESMay 2, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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