Individual
RALPH THOMAS LYERLY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 989-1080
Mailing address
2151 OLD ROCKY RIDGE RD, SUITE 106, BIRMINGHAM, AL 35216-7235
(205) 989-1080
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.24332
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009994915
—
AL
05
—
009994925
—
AL
05
—
009994935
—
AL
01
—
010033CI28786
SECTION 1011
AL
01
—
01231508
MISSISSIPPI MEDICAID
MS
01
—
051527917
BLUE CROSS
AL
01
—
051527919
BLUE CROSS
AL
01
—
051527921
BLUE CROSS
AL
05
—
106490
—
AL
01
—
P00255687
RAILROAD MEDICARE
AL
Enumeration date
07/03/2006
Last updated
09/08/2017
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