Individual
DR. WILLIAM GLENN LYLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1112 DRESSER CT, RALEIGH, NC 27609-7303
(919) 872-2616
(919) 872-2771
Mailing address
1112 DRESSER CT, RALEIGH, NC 27609-7303
(919) 872-2616
(919) 872-2771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912585
—
NC
Enumeration date
02/21/2006
Last updated
07/08/2007
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