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Individual

GEORGE A LYRENE

Active
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Individual

GEORGE A LYRENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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