Individual
LYLE A. NALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2925 N. PALO VERDE, LONG BEACH, CA 90815
(562) 429-2473
Mailing address
2925 N. PALO VERDE, LONG BEACH, CA 90815
(562) 533-5953
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3505
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E3505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E35050
MEDI CAL
CA
Enumeration date
07/21/2005
Last updated
11/30/2012
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