Individual
MR. DANIEL LYLE
Active
Individual
MR. DANIEL LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT, LFC
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
833993092
BLUE CROSS BLUE SHIELD
NE
05
—
833993092
—
NE
Enumeration date
12/30/2019
Last updated
12/30/2019
Update your record
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