Individual
LYLE RAY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 STANTONSBURG ROAD, GREENVILLE, NC 27835-6028
(252) 847-5473
(252) 847-6255
Mailing address
2100 STANTONSBURG ROAD, GREENVILLE, NC 27835-6028
(252) 847-5473
(252) 847-6255
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
25486
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24202
BCBS OF NC
NC
05
—
8924202
—
NC
Enumeration date
06/07/2006
Last updated
10/06/2009
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