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Dr. Charles Lye, MD
VA Clinic/Center in Lake City, Florida
NPI 1639272313

Charles Lye is a VA Clinic/Center based in Lake City, FL and is specialized in VA. Charles Lye practices in Lake City, FL and has the professional credentials of MD. The NPI Number for Charles Lye is 1639272313 and holds a License No. 036330 (Florida).

The current practice location address for Charles Lye is 619 S Marion Ave, Lake City, FL and can be reached out via phone at 386-755-3016.

Location: 619 S Marion Ave, Lake City, FL, 32024-1833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639272313
Provider Name
Charles Lye
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
619 S Marion Ave, Lake City, FL, 32024-1833
Phone Number
386-755-3016
Fax Number
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
619 S Marion Ave
City
Lake City
State
Florida
Zip
32025-5808
Phone Number
386-755-3016
Fax Number
person
Provider Business Mailing Address Details
Address
619 S Marion Ave
City
Lake City
State
Florida
Zip
32025-5808
Phone Number
386-755-3016
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
261QV0200X
License No.
036330 (Georgia)
Definition
Definition to come...
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