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Individual

EVELYN M LYLES

Active
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Individual

EVELYN M LYLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
29142
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0771749
UNITED HEALTHCARE
01
53466
BCBS NC
05
8953466
NC
Enumeration date
02/09/2006
Last updated
06/30/2010
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