MR. LYLE EVERETT BOARD ATC CSCS NPI 1962440404

NPI Information

NPI: 1962440404
Provider Name: MR. LYLE EVERETT BOARD, ATC, CSCS
Classification: Specialist/Technologist - 225500000X
Entity Type: Individual
Address:
8080 BLUEBONNET BLVD
BATON ROUGE, LA
ZIP 70810
Phone: (225) 408-7990
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MR. Lyle Everett Board, ATC, CSCS is a specialist technologist in Baton Rouge, LA. The provider is general classification identifying respiratory, developmental, rehabilitative or restorative services individuals who are trained on a specific piece of equipment or technical procedure. MR. Lyle Everett Board, ATC, CSCS NPI is 1962440404. 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:

8080 BLUEBONNET BLVD
BATON ROUGE, LA
ZIP 70810-827
Phone: (225) 408-7990
Fax: (225) 408-7989

The enumeration date for this NPI number is 6/4/2006 and was last updated on 7/8/2007.

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	225500000X	Specialist/Technologist		J00203	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J00203	OTHER	LOUISIANA	STATE LICENSE

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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