DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES LYE, MD

Active Sole Proprietor

VA Clinic · LAKE CITY, FL

Registration Details

NPI Number
1639272313
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2006 (19.622282902557 yrs)
Last Updated
Jul 8, 2007
License
036330 (GA)
Sole Proprietor
Yes

Practice Information

Address
619 S MARION AVE
LAKE CITY, FL, 320255808
Browse FL providers · Browse ZIP 32025
Phone
3867553016
Primary Specialty
VA Clinic
261QV0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.