Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 116681 | CA |
Y | 207N00000X | Dermatologist | 2015-01774 | NC |
N | 207N00000X | Dermatologist | 30884 | SC |
NPI | 1043429525 |
---|---|
Provider Name | Alison Lyke |
First Address | Asheville, NC 28803-2606 |
Second Address | Asheville, NC 28803-2606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 03/09/2019 |