Lyell, Reggie Duane

Lyell, Reggie Duane is an individual health care provider with primary practice located at 313 Federal Dr Nw Suite 200, Corydon IN 47112-3070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lyell, Reggie Duane can be contacted via phone (812) 738-4155.

Contact Information

Primary practice address
313 Federal Dr Nw Suite 200 Corydon IN 47112-3070
Phone: (812) 738-4155
Fax: (812) 738-6104
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01042535 Indiana

Profile Details

NPI number 1184660664
LBN Legal business name Lyell, Reggie Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 8th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184660664 NPPES
Indiana Other 12044V10062 AHDSH
Indiana Other 351920057 AHDSH
Indiana Other 080062749 AHDSH
Indiana Other 0180571 AHDSH
Indiana MEDICAID 100380200A AHDSH
Indiana Other 1017630001 AHDSH
Indiana Other 338886P AHDSH
Indiana Other 42639 AHDSH

Popular Providers