Individual
DR. NATASHA G. LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
140 COMMERCE BLVD, BENTON, KY 42025-1112
(270) 252-3937
Mailing address
140 COMMERCE BLVD, BENTON, KY 42025-1112
(270) 252-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1768DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000624689
ANTHEM BCBS
KY
01
—
000000680886
ANTHEM BCBS
KY
01
—
000000690650
ANTHEM BCBS
KY
05
—
7100081610
—
KY
01
—
P00918684
RAILROAD MEDICARE
KY
Enumeration date
07/13/2009
Last updated
02/26/2018
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