Individual
DR. CHARLES LYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
254 SW NIGHTSHADE DR, LAKE CITY, FL 32024-1833
(386) 752-8193
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
036330
GA
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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