Individual
LYLE E. FISHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
034337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000558214C
—
GA
05
—
G34337
—
SC
Enumeration date
08/30/2006
Last updated
08/05/2013
Update your record
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