Individual
RUSSELL RAY LYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 HUNTER CREST, RIDGELAND, MS 39157
(601) 605-9995
Mailing address
303 HUNTER CREST, RIDGELAND, MS 39157
(601) 605-9995
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0017
MS
Other
Enumeration date
07/21/2011
Last updated
11/06/2015
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