Jody B Lyle, CRNA
Nurse Anesthetist, Certified Registered in Williamsburg, VA. Individual provider (NPI-1).
NPI number1265764310
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1265764310
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jody B Lyle
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2010
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024168627 | VA | Yes |
Practice location
5424 Discovery Park BoulevardBldg. A, Suite 101
Williamsburg, VA 23188
Phone 757-707-3505 · Fax 757-707-3506
Mailing address
860 Omni Blvd Ste 303Newport News, VA 23606-4477
Phone 757-232-8769 · Fax 757-232-8875
Other practice locations
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