National Provider Identifier
John Shannon Lyerly, MD
John Shannon Lyerly, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Rochester, NY and a listed phone number of (585) 275-6917.
Profile Overview
- NPI
- 1952965733
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- April 26, 2019
- Last Updated
- September 23, 2024
Practice Location
- 300 Crittenden Blvd
- Rochester, NY 14642-0001
Phone: (585) 275-6917
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1952965733
- Entity Type
- Individual
- Last Name
- Lyerly
- First Name
- John
- Middle Name
- Shannon
- Credential
- MD
- Mailing Street Address
- 300 Crittenden Blvd
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-6917
- Mailing Fax
- (585) 276-2292
- Practice Street Address
- 300 Crittenden Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-6917
- Practice Fax
- (585) 276-2292
- Enumeration Date
- April 26, 2019
- Last Updated
- September 23, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 23, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)