DR. Herman Oscar Lyle JR., M.D.

NPI #1275530230 in Marion, Illinois

Provider Information

NPI Number
1275530230
Entity Type
Individual
Name
DR. Herman Oscar Lyle JR., M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
M.D.
Enumeration Date
Jul 6, 2005
Last Updated
Jun 4, 2008

Practice Location

Address
6563 WARDS MILL ROAD
City
Marion
ZIP Code
62959-0820
Phone
(618) 993-3692

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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