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NPI Code Detail

MEDICARE: MICHELLE ELIZABETH LYMAN MD

MEDICARE: MICHELLE ELIZABETH LYMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianME173452FL
2390200000XStudent in an Organized Health Care Education/Training Program8005986NC
3207Q00000XFamily Medicine Physician2022-02254NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2HFD8IOTHERFLBCBS

General Provider Information

NPI Number : 1295390755
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ELIZABETH LYMAN MD
Provider Business Mailing Address
First Line : PO BOX 917770
Second Line :
City : ORLANDO
State : FL
Zip : 32891-0001
Country : US
Telephone Number : 813-821-8038
Fax Number :
Provider Business Practice Location Address
First Line : 101 MANNING DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27599-6119
Country : US
Telephone Number : 919-923-8013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2019
Last Update Date : 12/07/2025

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