Individual provider · NPI-1

Shantwana S Lyles

Prosthetist · Arlington, TX

NPI number1770073231
StatusActive
Last updated in NPPESMay 10, 2018

Details

NPI
1770073231
Entity type
Individual (NPI-1)
Name
Shantwana S Lyles
Sex
Female
Sole proprietor
Yes
Enumeration date
May 10, 2018
Last updated
May 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224P00000X Prosthetistkk546154CAYes

Other names

  • Shantwana S Lyles (Other Name)

Practice location

2807 Forest Hollow Ln Apt 3313
Arlington, TX 76006-3020

Phone 909-485-2273

Mailing address

2807 Forest Hollow Ln Apt 3313
Arlington, TX 76006-3020

Phone 909-485-2273

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Prosthetist providers in Arlington, TX