Individual
MR. ROBERT CHARLES LYELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3798 JANES ROAD, SUITE 9, ARCATA, CA 95521-4745
(707) 826-7080
(707) 826-7119
Mailing address
3798 JANES ROAD, SUITE 9, ARCATA, CA 95521-4745
(707) 826-7080
(707) 826-7119
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G76911
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G769110
—
CA
Enumeration date
09/20/2006
Last updated
12/17/2007
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