Provider Demographics
NPI:1841240827
Name:LYLE, CARI ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:ELIZABETH
Last Name:LYLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5750 CENTRE AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3761
Mailing Address - Country:US
Mailing Address - Phone:412-681-4220
Mailing Address - Fax:412-681-4396
Practice Address - Street 1:5750 CENTRE AVE STE 230
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3761
Practice Address - Country:US
Practice Address - Phone:412-681-4220
Practice Address - Fax:412-681-4396
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD433334207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1020898220001Medicaid
OH2857145Medicaid
PAMD433334OtherSTATE LICENSE NUMBER
PA127936GNZMedicare PIN