Young, Lisa Dyer

Young, Lisa Dyer is an individual health care provider with primary practice located at 2401 Village Professional Drive , Opelika AL 36801-4702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Young, Lisa Dyer can be contacted via phone (334) 749-8121.

Contact Information

Primary practice address
2401 Village Professional Drive Opelika AL 36801-4702
Phone: (334) 749-8121
Fax: (334) 749-6166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21253 Alabama

Profile Details

NPI number 1922149798
LBN Legal business name Young, Lisa Dyer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Mar 7th, 2023 - about last year

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 1922149798 NPPES
Alabama Other 21253 ALABAMA CONTR SUBST CERT
Alabama Other 36452 ALABAMA CONTR SUBST CERT
Alabama Other 510-96615 ALABAMA CONTR SUBST CERT
Alabama Other 177521 ALABAMA CONTR SUBST CERT
Alabama Other 21253 ALABAMA CONTR SUBST CERT
Alabama Other 510-96612 ALABAMA CONTR SUBST CERT
Alabama Other 1210778 ALABAMA CONTR SUBST CERT

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