Provider Demographics
NPI:1619145752
Name:LYLES, LORI LESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:LESTER
Last Name:LYLES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1220 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3678
Mailing Address - Country:US
Mailing Address - Phone:843-388-8222
Mailing Address - Fax:843-388-8221
Practice Address - Street 1:1220 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3678
Practice Address - Country:US
Practice Address - Phone:843-388-8222
Practice Address - Fax:843-388-8221
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2013-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC14452207VB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VB0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObesity Medicine