Lyles, Johnnie

Lyles, Johnnie is an individual health care provider with primary practice located at 2908 Oak Lake Blvd Suite 205, Charlotte NC 28208-7703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Lyles, Johnnie can be contacted via phone (704) 567-8233.

Contact Information

Primary practice address
2908 Oak Lake Blvd Suite 205 Charlotte NC 28208-7703
Phone: (704) 567-8233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2009-00568 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2009-00568 North Carolina

Profile Details

NPI number 1841491370
LBN Legal business name Lyles, Johnnie
Credentials M.D., M.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Jun 17th, 2016 - about 8 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 1841491370 NPPES
North Carolina Other 1841491370 UNITED HEALTH CARE
North Carolina Other 1841491370 UNITED HEALTH CARE
North Carolina Other 1841491370 UNITED HEALTH CARE
North Carolina MEDICAID 1841491370 UNITED HEALTH CARE
North Carolina Other 1841491370 UNITED HEALTH CARE
North Carolina Other 1841491370 UNITED HEALTH CARE
North Carolina Other 1841491370 UNITED HEALTH CARE
North Carolina Other 7014253 UNITED HEALTH CARE

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