Individual
RICKY DUANE LYERLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
364 WHITE OAK ST, ASHEBORO, NC 27203-5434
(336) 629-6565
(336) 626-5640
Mailing address
PO BOX 1430, ASHEBORO, NC 27204-1430
(336) 629-6565
(336) 626-5640
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133N2
BLUE CROSS BLUE SHIELD
NC
01
—
16-01203
UNITED HEALTHCARE
NC
05
—
89133N2
—
NC
Enumeration date
08/09/2005
Last updated
07/08/2007
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