Active NPI
Lori Lester Lyles, M.D.
- Obesity Medicine (Obstetrics & Gynecology) Physician
- Mt Pleasant, SC
National Provider Identifier
1619145752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Obstetrics & Gynecology) Physician
- License
- 14452
- Practice address
- 1220 Hospital Dr
Mt Pleasant, SC 29464-3678 - Phone
- (843) 388-8222
- Fax
- (843) 388-8221
- NPI assigned
- Feb 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Obstetrics & Gynecology) Physician | 207VB0002X | 14452 | SC | Primary |
Addresses
Primary practice location
1220 Hospital Dr
Mt Pleasant, SC 29464-3678
Mailing address
1220 Hospital Dr
Mt Pleasant, SC 29464-3678
Phone (843) 388-8222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 7, 2012 through Dec 7, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1619145752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 HOSPITAL DR",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643678",
"telephone_number": "843-388-8222",
"fax_number": "843-388-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 HOSPITAL DR",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643678",
"telephone_number": "843-388-8222",
"fax_number": "843-388-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLES",
"first_name": "LORI",
"middle_name": "LESTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207VB0002X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obesity Medicine",
"state": "SC",
"license": "14452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.