Provider Demographics
NPI:1023052610
Name:LYLE, JAMES E IV (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:LYLE
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2000 PEPPERELL PARKWAY
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801
Mailing Address - Country:US
Mailing Address - Phone:334-528-2663
Mailing Address - Fax:334-528-2669
Practice Address - Street 1:2000 PEPPERELL PARKWAY
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801
Practice Address - Country:US
Practice Address - Phone:334-528-2663
Practice Address - Fax:334-528-2669
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL050038207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051507549Medicare PIN
GA20BBFGQMedicare PIN
ALH37307Medicare UPIN