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Individual

DR. ADAM DREW LYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
315 E BROADWAY FL 4, LOUISVILLE, KY 40202
(502) 629-2884
(502) 629-2443
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 272-5052
(502) 629-6217

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R1549
KY
207RH0003X
Hematology & Oncology Physician
Primary
43014
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100104910
KY
Enumeration date
07/03/2008
Last updated
10/23/2020
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