Basic Information
Provider Information
NPI: 1740572387
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LYERLY
FirstName: MEGHAN
MiddleName: LINDSAY
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: CURETON
OtherFirstName: MEGHAN
OtherMiddleName: LINDSAY
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 1960
Address2:  
City: JONESBORO
State: AR
PostalCode: 724031960
CountryCode: US
TelephoneNumber: 8709368000
FaxNumber: 8709321293
Practice Location
Address1: 8170 US HIGHWAY 49N
Address2:  
City: BROOKLAND
State: AR
PostalCode: 72417
CountryCode: US
TelephoneNumber: 8709368000
FaxNumber: 8709321293
Other Information
ProviderEnumerationDate: 05/13/2011
LastUpdateDate: 10/18/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XE-8768ARY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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