Individual
LAFAYETTE MICHAEL TYLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15080 7TH ST., VICTORVILLE, CA 92395-3865
(760) 243-7330
(760) 243-6990
Mailing address
15797 LIME ST., HESPERIQ, CA 92345-3914
(760) 948-5768
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
G52123
CA
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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