Individual
MARY FENNELL LYLES
Active
Individual
MARY FENNELL LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
22777
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10656
PARTNERS
NC
01
—
27314
MEDCOST
NC
05
—
3810011190
—
WV
01
—
53464
BCBS
NC
01
—
7449759
AETNA
—
05
—
7602715
—
VA
05
—
8953464
—
NC
05
—
Q22777
—
SC
Enumeration date
12/13/2005
Last updated
05/14/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up