Individual
DR. LYLE E WADSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME30902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000050266105
UNITEDHEALTHCARE
FL
01
—
2198298007
CIGNA
FL
01
—
5490138
AETNA
FL
01
—
64391
BC/BS
FL
Enumeration date
06/22/2005
Last updated
03/27/2008
Update your record
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