Lyman, William Buckley

Lyman, William Buckley is an individual health care provider with primary practice located at 10650 Park Rd , Charlotte NC 28210-8538. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Lyman, William Buckley can be contacted via phone (704) 667-0575.

Contact Information

Primary practice address
10650 Park Rd Charlotte NC 28210-8538
Phone: (704) 667-0575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 210170 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 65962 Tennessee
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 65962 Tennessee

Profile Details

NPI number 1104212711
LBN Legal business name Lyman, William Buckley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2015
Last updated Jul 24th, 2025 - 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 1104212711 NPPES
Tennessee Other 65962 TN MEDICAL LICENSE

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