Matthew Lamar Lyle in Bogalusa - Nurse Anesthetist, Certified Registered
Matthew Lamar Lyle - NPI 1740210061
Matthew Lamar Lyle is a Nurse Anesthetist, Certified Registered in Bogalusa, Louisiana. Matthew Lamar Lyle practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Matthew Lamar Lyle is 1740210061. The last update date is 2021-07-07.
Matthew Lamar Lyle's current location address is 433 Plaza St, Bogalusa, Louisiana. You can contact this provider via phone number 9857306700 and fax number 9857306713. The mailing address for Matthew Lamar Lyle is 433 Plaza St, Bogalusa, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Matthew Lamar Lyle |
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Address | 433 Plaza St, Bogalusa, Louisiana |
Phone Number | 9857306700 |
Fax Number | 9857306713 |
Sole Proprietor | N |
Credentials | CRNA |
NPI Number Detail
NPI Number | 1740210061 |
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Provider Enumeration Date | 2006-07-03 |
Last Updated Date | 2021-07-07 |
Provider Mailing Address Detail
Address | 433 Plaza St |
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City | Bogalusa |
State | Louisiana (LA) |
Post Code | 7042737290 |
Phone Number | 9857306700 |
Fax Number | 9857306713 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Anesthetist, Certified Registered |
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Taxonomy | 367500000X |
Licence No | RN089353 |
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
183618001 | AR | -- | |
1740210061 | MO | -- | |
200497160A | OK | -- |
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What is the unique identifier code issued to Matthew Lamar Lyle by the Centers for Medicare & Medicaid Services (CMS)?
The Matthew Lamar Lyle has been assigned the NPI (National Provider Identifier) 1740210061. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Matthew Lamar Lyle's physical address?
The Matthew Lamar Lyle is physically located at 433 Plaza St, in the city of Bogalusa, LA, with the postal code 7042737290.
What is the Matthew Lamar Lyle's specialty and taxonomy code?
The Matthew Lamar Lyle's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.
When did Matthew Lamar Lyle receive its 1740210061 assignment?
The Matthew Lamar Lyle was assigned its 1740210061 on 2006-07-03, which is the date when this unique identifier was issued to the organization.
When was the information regarding Matthew Lamar Lyle most recently updated?
The details pertaining to the Matthew Lamar Lyle, including its address, specialty, and other relevant information, were last refreshed on 2021-07-07.
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