Individual
MARK S LYELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1153 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 819-8586
(251) 433-1917
Mailing address
168 MOBILE INFIRMARY BLVD, MOBILE, AL 36607-3510
(251) 433-1895
(251) 433-1917
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13231
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119318
—
MS
01
—
10980353
CAQH
MS
01
—
340018613
RAILROAD MEDICARE
MS
Enumeration date
07/29/2006
Last updated
05/22/2025
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