PASCHA LADAWN LYLES NPI 1518660653

NPI Information

  • NPI: 1518660653
  • Provider Name: PASCHA LADAWN LYLES
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 3347 EDENRIDGE CT
    BUFORD, GA
    ZIP 30519
  • Phone: (678) 943-3195

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NPI Details

Pascha Ladawn Lyles is a gerontology nurse practitioner in Buford, GA. Pascha Ladawn Lyles NPI is 1518660653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3347 EDENRIDGE CT
BUFORD, GA
ZIP 30519-230
Phone: (678) 943-3195

The enumeration date for this NPI number is 3/27/2023 and was last updated on 3/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyRN194466GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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