Healthcare Provider Details

I. General information

NPI: 1235544628
Provider Name (Legal Business Name): POLINA LYERLY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2014
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1736 HAMILTON ST STE 101
ALLENTOWN PA
18104-5656
US

IV. Provider business mailing address

801 OSTRUM ST
BETHLEHEM PA
18015-1000
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-6643
  • Fax: 484-526-4658
Mailing address:
  • Phone: 610-776-4888
  • Fax: 610-776-4895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD462441
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: