Individual
WILLIAM J LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
SD-CRNA CR000721
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295962983
MN BCBS
—
05
—
1295962983
—
MN
05
—
46022474348
—
NE
05
—
5756330
—
SD
01
—
9281511
DAKOTACARE
—
Enumeration date
06/19/2009
Last updated
07/05/2012
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