Individual
MRS. JODY B LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5424 DISCOVERY PARK BOULEVARD, BLDG. A, SUITE 101, WILLIAMSBURG, VA 23188
(757) 707-3505
(757) 707-3506
Mailing address
860 OMNI BLVD STE 303, NEWPORT NEWS, VA 23606-4477
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168627
VA
Other
Enumeration date
01/31/2010
Last updated
03/17/2018
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