Lyle, George D

Lyle, George D is an individual health care provider with primary practice located at 160 E Lake Howard Dr , Winter Haven FL 33881-3155. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Lyle, George D can be contacted via phone (863) 299-1251.

Contact Information

Primary practice address
160 E Lake Howard Dr Winter Haven FL 33881-3155
Phone: (863) 299-1251
Fax: (863) 299-7666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X ME64521 Florida
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X ME64521 Florida
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME64521 Florida

Profile Details

NPI number 1831122811
LBN Legal business name Lyle, George D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated May 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831122811 NPPES
Florida MEDICAID 373177-400

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