OTIS D LYLES NPI 1609439272

NPI Information

NPI: 1609439272
Provider Name: OTIS D LYLES
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Individual
Address:
305 LYNN DR
ALTON, IL
ZIP 62002
Phone: (314) 581-7735
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Otis D Lyles is a non emergency medical transport van in Alton, IL. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. Otis D Lyles NPI is 1609439272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

305 LYNN DR
ALTON, IL
ZIP 62002-508
Phone: (314) 581-7735
Fax: (618) 466-5501

The enumeration date for this NPI number is 4/18/2019 and was last updated on 4/18/2019.

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
1	343900000X	Non-emergency Medical Transport (VAN)			MISSOURI	Yes

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: 4/28/2024

NPI Synchronization or Removal

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