Individual
DR. JOSEPH DARRELL LYVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3448 TAYLOR BLVD, LOUISVILLE, KY 40215-2648
(502) 367-0571
(502) 366-6821
Mailing address
9925 MELISSA DR, LOUISVILLE, KY 40223-2780
(502) 429-0665
(502) 366-6821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6045
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60060456
—
KY
01
—
YB67
BC/BS
KY
Enumeration date
10/10/2005
Last updated
07/09/2007
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