Provider Demographics
NPI:1154921450
Name:LYERLY, STEVEN W
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:W
Last Name:LYERLY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2332 ECHOING OAK
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-3660
Mailing Address - Country:US
Mailing Address - Phone:210-859-7465
Mailing Address - Fax:
Practice Address - Street 1:1350 LEAH AVE
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7691
Practice Address - Country:US
Practice Address - Phone:512-392-1387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64792183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist