Individual
GEORGE A LYRENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 SAINT CLAIR AVE SW, BUILDING 3, HUNTSVILLE, AL 35801-5008
(256) 536-4700
(256) 536-4117
Mailing address
600 SAINT CLAIR AVE SW, BUILDING 3, HUNTSVILLE, AL 35801-5008
(256) 536-4700
(256) 536-4117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7362
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138174
—
AL
01
—
503214
UNITED HEALTHCARE
AL
01
—
51125632
BLUE CROSS/BLUE SHIELD OF ALABAMA
AL
Enumeration date
05/19/2006
Last updated
06/05/2015
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