Provider Demographics
NPI:1457317026
Name:NAYLOR, LIONEL Z (MD)
Entity Type:Individual
Prefix:DR
First Name:LIONEL
Middle Name:Z
Last Name:NAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1029
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35602-1029
Mailing Address - Country:US
Mailing Address - Phone:256-355-6414
Mailing Address - Fax:256-355-6646
Practice Address - Street 1:1405 7TH STREET SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3341
Practice Address - Country:US
Practice Address - Phone:256-355-6414
Practice Address - Fax:256-355-6646
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00003989208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL020038028OtherRR MEDICARE
AL1710177OtherUNITED HEALTH
AL000004624Medicaid
AL51004624NAYOtherBCBS
AL000004624Medicare ID - Type Unspecified
C70911Medicare UPIN