Individual
RENEE J LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 14TH ST, MERIDIAN, MS 39301-4458
(601) 482-9224
(601) 482-9223
Mailing address
1001 14TH ST, MERIDIAN, MS 39301-4458
(601) 482-9224
(601) 482-9223
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
R734185
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117020
—
MS
Enumeration date
09/07/2005
Last updated
03/21/2018
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