Individual
ANDREW LYELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3204 PARKWOOD AVE, RICHMOND, VA 23221-3421
(703) 955-6703
Mailing address
180 S 3RD ST STE 300, BELLEVILLE, IL 62220-1952
(618) 233-5480
(618) 222-4790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125070799
IL
207R00000X
Internal Medicine Physician
0101266386
VA
208M00000X
Hospitalist Physician
Primary
0101266386
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2017
Last updated
08/09/2024
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