Provider Demographics
NPI:1851441273
Name:FRITZ, LYMAN WOODARD (MD)
Entity Type:Individual
Prefix:DR
First Name:LYMAN
Middle Name:WOODARD
Last Name:FRITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3401 INDEPENDENCE DR
Mailing Address - Street 2:SUITE 241
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-5662
Mailing Address - Country:US
Mailing Address - Phone:205-877-8585
Mailing Address - Fax:205-877-8580
Practice Address - Street 1:3401 INDEPENDENCE DR
Practice Address - Street 2:SUITE 241
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-5662
Practice Address - Country:US
Practice Address - Phone:205-877-8585
Practice Address - Fax:205-877-8580
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL11809207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC78569Medicare UPIN