Individual
JOHN A LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Mailing address
800 E 21ST ST, ANESTHESIA DEPT., SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
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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