Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 29142 | NC |
NPI | 1174596266 |
---|---|
Provider Name | Evelyn M Lyles |
First Address | Asheville, NC 28806-2343 |
Second Address | Asheville, NC 28806-2343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 30/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0771749 | UNITED HEALTHCARE (01) | |
53466 | BCBS NC (01) | |
8953466 | (05) | NC |
C85252 | (02) |