Individual
JOHN A LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
SD CRNA CR000668
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46022474348
—
NE
01
—
4993054
BLUE CROSS OF SD
SD
01
—
7I390LY
MN BLUECROSS BS
MN
01
—
9251735
DAKOTACARE
SD
Enumeration date
06/07/2007
Last updated
03/07/2008
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