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Individual
MR. LYLE EVERETT BOARD
Active
Individual
MR. LYLE EVERETT BOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
J00203
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J00203
STATE LICENSE
LA
Enumeration date
06/04/2006
Last updated
07/13/2026
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