| Doctor Name: | DIANA LYELL |
| NPI Number: | 1841411535 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 0573 |
| Business Practice Address: | 19 Hampton Road Exeter, NH - 03833 |
| Business Phone Number: | 6037724684 |
| Business Fax Number: | 6037725206 |
| Mailing Address: | 401 Andover St, Suite 101 NORTH ANDOVER |
| State: | MA |
| Postal Code: | 018455076 |
| Phone Number: | 9786915690 |
| Fax Number: | 9786915693 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 06/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 0573 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NH |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |