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Individual

MRS. LACEY DOOLEY LYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
5839 HARBOUR VIEW BLVD STE 201, SUFFOLK, VA 23435-3797
(757) 967-0676
(757) 967-0675
Mailing address
150 BURNETTS WAY STE 320, SUFFOLK, VA 23434-8288
(757) 934-1900
(757) 925-6719

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024171601
VA
363LF0000X
Family Nurse Practitioner
0024171601
VA

Other

Enumeration date
04/15/2014
Last updated
07/21/2022
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