Individual
DR. LYLE REY FOLSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1016 W PIERCE ST, CARLSBAD, NM 88220-4013
(575) 885-3445
(575) 887-0163
Mailing address
1016 W PIERCE ST, CARLSBAD, NM 88220-4013
(575) 885-3445
(575) 887-0163
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
281
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
281
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20639261
—
NM
01
—
480035354
RR MEDICARE
NM
01
—
NM015A03
BCBS
NM
Enumeration date
08/21/2006
Last updated
11/05/2010
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