Individual
LYLE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
2080 NEWNAN CROSSING BLVD, SUITE 300, NEWNAN, GA 30265
(770) 955-0270
(770) 955-0271
Mailing address
1601 GEORGIAN PARK, STE 100, PEACHTREE CITY, GA 30269-6968
(770) 955-0270
(770) 955-0271
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003964
GA
Other
Enumeration date
05/27/2014
Last updated
09/10/2019
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