Individual
MR. LYLE E BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3589 LAFAYETTE PKWY, FLOYDS KNOBS, IN 47119-9760
(812) 949-6264
(812) 949-5073
Mailing address
PO BOX 950238, LOUISVILLE, KY 40295-0238
(812) 949-5077
(812) 949-5073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01033730A
IN
207R00000X
Internal Medicine Physician
24109
KY
208M00000X
Hospitalist Physician
Primary
01033730A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100086780B
—
IN
05
—
64241094
—
KY
Enumeration date
04/03/2006
Last updated
07/10/2019
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