Individual
DR. MARK ANDREW LYERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 KIMEL PARK DR STE 155, WINSTON SALEM, NC 27103-6946
(336) 765-6637
(336) 765-6964
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
29021
WV
207T00000X
Neurological Surgery Physician
Primary
35415
NC
207T00000X
Neurological Surgery Physician
MD25702
ME
Other
Enumeration date
03/01/2006
Last updated
03/13/2024
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