Individual
ANN BLACK LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2700 NORTHUP WAY, BELLEVUE, WA 98004-1463
(425) 827-4600
(425) 828-2256
Mailing address
2511 MEDINA CIR, MEDINA, WA 98039-1503
(425) 455-4545
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
025209 MD00017466
WA
Other
Enumeration date
05/12/2007
Last updated
07/08/2007
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