Lyle, Stephen R
Lyle, Stephen R is an individual health care provider with primary practice located at 1 Innovation Dr Three Biotech, Department Of Pathology, Worcester MA 01605-4307. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Lyle, Stephen R can be contacted via phone (508) 793-6100.Contact Information
Primary practice address
1 Innovation Dr Three Biotech, Department Of Pathology
Worcester MA 01605-4307
Phone: (508) 793-6100
Fax: (508) 793-6110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 160911 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 160911 | Massachusetts |
Profile Details
| NPI number | 1598750234 |
|---|---|
| LBN Legal business name | Lyle, Stephen R |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Mar 20th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598750234 | NPPES |
| Massachusetts | MEDICAID | 3204995 |
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