| Doctor Name: | DR. LYSLE K AILSTOCK |
| NPI Number: | 1912989898 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 9600437 |
| Business Practice Address: | 2101 W Arlington Blvd Ste 210 Eastern Radiologists, Inc Greenville, NC - 278345758 |
| Business Phone Number: | 2527525000 |
| Business Fax Number: | 2527520166 |
| Mailing Address: | 2101 W Arlington Blvd Ste 210, Eastern Radiologists, Inc GREENVILLE |
| State: | NC |
| Postal Code: | 278345758 |
| Phone Number: | 2527525000 |
| Fax Number: | 2527520166 |
| NPI Enumeration Date: | 11/16/2005 |
| NPI Last Update Date: | 08/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 9600437 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |