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Individual
DR. LYLE CHARLES COLEMAN
Active
Individual
DR. LYLE CHARLES COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., DIBCN
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
1245
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138401300
DOL PROVIDER NUMBER
—
05
—
905225900
—
MN
Enumeration date
09/13/2006
Last updated
11/10/2015
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