Provider Demographics
NPI:1255493342
Name:MYERS, LYLE C (MD)
Entity type:Individual
Prefix:MR
First Name:LYLE
Middle Name:C
Last Name:MYERS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1775 ALYSHEBA WAY
Mailing Address - Street 2:SUITE 50
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509
Mailing Address - Country:US
Mailing Address - Phone:859-639-1210
Mailing Address - Fax:859-639-1211
Practice Address - Street 1:1775 ALYSHEBA WAY
Practice Address - Street 2:SUITE 50
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509
Practice Address - Country:US
Practice Address - Phone:859-639-1210
Practice Address - Fax:859-639-1211
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2025-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY30815207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000041604OtherANTHEM BCBS
KY88140OtherCHA
KY64308158Medicaid
460001484OtherRAILROAD MEDICARE
KYF92909OtherBLUEGRASS FAMILY HEALTH
KYF92909OtherBLUEGRASS FAMILY HEALTH
KY000000041604OtherANTHEM BCBS