Individual provider · Type 1 NPI

Charles Jonathan Lyerly, DPM

Foot & Ankle Surgery Podiatrist · Philadelphia, PA

NPI number 1104443100 Active

Practice location

235 N Broad St
Philadelphia, PA 19107-1531

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XSC007120 (PA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1104443100

Charles Jonathan Lyerly, DPM's National Provider Identifier is 1104443100, issued on Jun 25, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 25, 2020.