Individual
CHARLES JONATHAN LYERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
235 N BROAD ST, PHILADELPHIA, PA 19107-1531
(215) 568-3510
Mailing address
235 N BROAD ST, PHILADELPHIA, PA 19107-1531
(215) 568-3510
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007120
PA
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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