Provider Demographics
NPI:1700312469
Name:LYLE, ALLISON NICOLE JOANN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:NICOLE JOANN
Last Name:LYLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1006 EQUINE AVE
Mailing Address - Street 2:
Mailing Address - City:SELLERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47172-0080
Mailing Address - Country:US
Mailing Address - Phone:317-753-9027
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:411 E CHESTNUT ST # 2
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1713
Practice Address - Country:US
Practice Address - Phone:502-588-0982
Practice Address - Fax:502-588-0987
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY58075208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics